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NPI 1366439622ActiveOrganization· Physical Therapist· Lower Burrell, PA

Physical Therapist in Lower Burrell, Pennsylvania, registered in NPPES in October 2005. The authorized official on file is Brian Roger Jacob, MHA, President. Enrolled in Medicare as part a provider - outpatient physical therapy/occupational therapy/speech pathology services.

Overview

NPI1366439622
StatusActive
Entity typeOrganization
NPI issuedOct 3, 2005
Last updated in NPPESMar 15, 2010

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X——
Physical Therapist, Hand2251H1200X——
Massage Therapist225700000X——
Occupational Therapist225X00000X——
Occupational Therapist, Hand225XH1200X——
Speech-Language Pathologist235Z00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services (PA)

Medicare sources and data years

Other physical therapists in Lower Burrell

All 36 physical therapists in Lower Burrell · All physical therapists in Pennsylvania