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JACOB KEVIN MCDONALD PT
NPI 1336597335
Physical Therapist in De Pere, WI

Active since May 31, 2016Accepts Medicare Assignment
1601 LAWRENCE DR STE 100, DE PERE, WI 54115(920) 426-4700 Get Directions Write a Review

NPPES record last updated: September 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 28, 2022, Jul 26, 2022 (2 updates tracked since 2022).

About Jacob Kevin Mcdonald Pt NPPES

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

JACOB KEVIN MCDONALD PT (NPI 1336597335) is an individual physical therapist in De Pere, Wisconsin, licensed in Wisconsin (13393-24) and active in the NPI registry since May 2016. He maintains a secondary practice location in Green Bay and is a graduate of Other (2016).

NPPES Registry Identity

NPI1336597335
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameJACOB KEVIN MCDONALDCredential: PT
Location Address1601 LAWRENCE DR STE 100De Pere, WI 54115-3931
Mailing AddressPo Box 19070Green Bay, WI 54307-9070 · (920) 496-4700 · Fax (920) 445-7289
Phone(920) 426-4700
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 31, 2016
Last NPPES UpdateSeptember 28, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2022
✔ NPI 1336597335 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 WI · 13393-24
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:
  • 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.
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.
1601 LAWRENCE DR STE 100, De Pere, WI 54115
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Secondary Practice Location 1

Location 11630 Commanche AveGreen Bay, WI 54313-5753 · Phone (920) 430-4750 · Fax (920) 430-4746

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Security Health Plan.Insurance ›

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

Jacob Kevin Mcdonald Pt 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 ID9335430818
PECOS Enrollment IDI20160614002159

Areas of Expertise CMS Part B claims 4

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 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.
316 services29 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.
116 services18 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.
52 services11 patients
Evaluation for physical therapy, typically 30 minutes 97162
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54115 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 12

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

EMMA MARIE LOUIE PT, DPT
Physical Therapist
1601 LAWRENCE DR STE 100
DE PERE, WI 54115
Brown County (920) 496-4700
SARAH ANN VERHAGEN SLP
Speech-Language Pathologist
1601 LAWRENCE DR STE 100
DE PERE, WI 54115
Brown County (920) 496-4700
MAGGIE M LARSON OTR/L
Occupational Therapist
1601 LAWRENCE DR STE 100
DE PERE, WI 54115
Brown County (920) 496-4700
MRS. STACEY LYN VAN GRINSVEN MS, CFY-SLP
Speech-Language Pathologist
1601 LAWRENCE DR STE 100
DE PERE, WI 54115
Brown County (920) 496-4700
MELISSA LEE CASPER MOTR
Occupational Therapist
1601 LAWRENCE DR STE 100
DE PERE, WI 54115
Brown County (920) 496-4700
PETER MAUTHE SMITH PT
Physical Therapist
1601 LAWRENCE DR STE 100
DE PERE, WI 54115
Brown County (920) 496-4700
MEGHAN FRASER PT, DPT
Physical Therapist
1601 LAWRENCE DR STE 100
DE PERE, WI 54115
Brown County (920) 496-4700
ERIN C OTT SLP
Speech-Language Pathologist
1601 LAWRENCE DR STE 100
DE PERE, WI 54115
Brown County (920) 496-4700

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 Mcdonald's NPI number?

The NPI number for Jacob Mcdonald is 1336597335. It was assigned to this individual provider in the NPPES registry on May 31, 2016.

Where is Jacob Mcdonald located?

Jacob Mcdonald practices at 1601 Lawrence Dr Ste 100, De Pere, WI 54115. The listed phone number is (920) 426-4700.

What is Jacob Mcdonald's specialty?

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

Is Jacob Mcdonald enrolled in Medicare?

Yes. Jacob Mcdonald 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.

What insurance does Jacob Mcdonald accept?

Health plans from Security Health Plan list Jacob Mcdonald as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacob Mcdonald was last updated on September 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.