Jacob S. Spillane
NPI 1770241150ActiveIndividual· Physical Therapist· Fayetteville, NY
Physical Therapist in Fayetteville, New York, licensed in NY, with an NPI issued in December 2021. Medicare paid $35,301 for services to 63 patients in 2024.
Overview
| NPI | 1770241150 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Dec 2, 2021 |
| Last updated in NPPES | Dec 2, 2021 |
| Certified by provider | Dec 2, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 048242 | NY |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 63 |
|---|---|
| Services billed | 1,620 across 9 procedure codes |
| Paid by Medicare | $35,301 |
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All 33 physical therapists in Fayetteville · All physical therapists in New York