JACOB MATTHEW ANDERSON DPT
NPI 1184045031
Physical Therapist in Rock Island, IL
About Jacob Matthew Anderson Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB MATTHEW ANDERSON DPT (NPI 1184045031) is an individual physical therapist in Rock Island, Illinois, licensed in Illinois (070018144) and active in the NPI registry since December 2013.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacob Matthew Anderson Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Jacob Anderson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rock Island, IL 61201
- Reassigned Medicare billing, Illinois enrollment
Lakewood, NJ 08701
- Reassigned Medicare billing, Illinois enrollment
- 49 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jacob Anderson's NPI number?
The NPI number for Jacob Anderson is 1184045031. It was assigned to this individual provider in the NPPES registry on December 19, 2013.
Where is Jacob Anderson located?
Jacob Anderson practices at 767 30th Street, Rock Island, IL 61201. The listed phone number is (309) 788-7631.
What is Jacob Anderson's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Jacob Anderson enrolled in Medicare?
Yes. Jacob Anderson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jacob Anderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Anderson reassigns Medicare benefits to 2 organizations: St Anthonys Rehabilitation And Nursing Center LLC (Rock Island, IL) and At Home By Enhance Therapies LLC (Lakewood, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacob Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jacob Anderson was last updated on June 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.