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Jacob Robert Stevens

NPI 1699656876ActiveIndividual· Physical Therapy Assistant· Mount Prospect, IL

Physical Therapy Assistant in Mount Prospect, Illinois, licensed in IL, with an NPI issued in September 2025.

Overview

NPI1699656876
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedSep 11, 2025
Last updated in NPPESSep 11, 2025
Certified by providerSep 11, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary225200000X160010464IL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

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

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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