JAKE PAUL
NPI 1225988959
Physical Therapist in Grosse Pointe Woods, MI

Active since February 02, 2026Accepts Medicare Assignment
20873 MACK AVE, GROSSE POINTE WOODS, MI 48236(313) 466-7884(313) 464-0001 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 7, 2026, Feb 2, 2026 (2 updates tracked since 2026).

About Jake Paul NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAKE PAUL (NPI 1225988959) is an individual physical therapist in Grosse Pointe Woods, Michigan, licensed in Michigan (5501304403) and active in the NPI registry since February 2026. He is a graduate of Other (2025).

NPPES Registry Identity

NPI1225988959
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameJAKE PAUL
Location Address20873 MACK AVEGrosse Pointe Woods, MI 48236-1313
Mailing Address2122 York Rd Ste 300Oak Brook, IL 60523-1925
Fax(313) 464-0001
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 2, 2026
Last NPPES UpdateMay 7, 20262 updates tracked since enumeration
NPPES CertifiedMay 7, 2026
NPI 1225988959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in MI · 5501304403
Definition

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>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.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

20873 MACK AVE, Grosse Pointe Woods, MI 48236

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jake Paul is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264901768
PECOS Enrollment IDI20260514000153

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48236 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center
20873 MACK AVE
GROSSE POINTE WOODS, MI 48236

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 Jake Paul's NPI number?

The NPI number for Jake Paul is 1225988959. It was assigned to this individual provider in the NPPES registry on February 2, 2026.

Where is Jake Paul located?

Jake Paul practices at 20873 Mack Ave, Grosse Pointe Woods, MI 48236. The listed phone number is (313) 466-7884.

What is Jake Paul's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Jake Paul enrolled in Medicare?

Yes. Jake Paul is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jake Paul was last updated on May 7, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.