Jacob Bartlett, PT, DPT
NPI 1558193508ActiveIndividual· Physical Therapist· Tuscaloosa, AL
Physical Therapist (PT, DPT) with Champion Performance Physical Therapy, PC, practicing in Tuscaloosa, Alabama. Medicare paid $4,634 for services to 12 patients in 2024.
Overview
| NPI | 1558193508 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Aug 19, 2024 |
| Last updated in NPPES | Oct 6, 2026 |
| Certified by provider | Oct 6, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 1396155 | TX |
| Physical Therapist | 225100000X | PTH12830 | AL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 12 |
|---|---|
| Services billed | 208 across 4 procedure codes |
| Paid by Medicare | $4,634 |
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Champion Performance Physical Therapy, PCCedar Park, TX · 8 clinicians
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