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MR. JACK JACOBS PT/DPT
NPI 1245474774
Physical Therapist - Geriatrics in Louisville, KY

Active since April 28, 2009Accepts Medicare Assignment
2000 NEWBURG RD, LOUISVILLE, KY 40205(502) 459-9681(502) 479-2501 Get Directions Write a Review

NPPES record last updated: April 28, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Jack Jacobs Pt/dpt NPPES

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

MR. JACK JACOBS PT/DPT (NPI 1245474774) is an individual geriatrics provider in Louisville, Kentucky, licensed in Kentucky (005251) and active in the NPI registry since April 2009. He is a graduate of Other (2007).

NPPES Registry Identity

NPI1245474774
Entity TypeIndividualMale
Primary Taxonomy2251G0304X
Provider Legal NameMR. JACK JACOBSCredential: PT/DPT
Location Address2000 NEWBURG RDLouisville, KY 40205-1803
Mailing Address1900 Arboro PlLouisville, KY 40220-3576 · (502) 298-4932
Phone(502) 459-9681
Fax(502) 479-2501
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateApril 28, 2009
✔ NPI 1245474774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · GeriatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251G0304X
License✔ Licensed in KY · 005251
Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.

2000 NEWBURG RD, Louisville, KY 40205
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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

Mr. Jack Jacobs Pt/dpt 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 ID547443558
PECOS Enrollment IDI20110330000036

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
2,453 services31 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
846 services25 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
407 services17 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
92 services11 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
11 services11 patients

Other Providers at the Same Location NPPES 3

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

MRS. KAREN PATE
Physical Therapist
2000 NEWBURG RD
LOUISVILLE, KY 40205
Jefferson County (502) 459-9681
NAZARETH HOME INC
Skilled Nursing Facility
2000 NEWBURG RD
LOUISVILLE, KY 40205
Jefferson County (502) 459-9681
VINTAGE CARE INC.
Internal Medicine (Geriatric Medicine)
2000 NEWBURG RD
LOUISVILLE, KY 40205
Jefferson County (502) 883-6744

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 Jack Jacobs's NPI number?

The NPI number for Jack Jacobs is 1245474774. It was assigned to this individual provider in the NPPES registry on April 28, 2009.

Where is Jack Jacobs located?

Jack Jacobs practices at 2000 Newburg Rd, Louisville, KY 40205. The listed phone number is (502) 459-9681.

What is Jack Jacobs's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

Is Jack Jacobs enrolled in Medicare?

Yes. Jack Jacobs 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 Jack Jacobs was last updated on April 28, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.