JACOB LIVELY
NPI 1407447998
Physical Therapy Assistant in Moore, OK

Active since January 28, 2021
526 SW 4TH ST STE 200, MOORE, OK 73160(405) 759-2700(405) 759-2722 Get Directions Write a Review

NPPES record last updated: January 28, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jacob Lively NPPES

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

JACOB LIVELY (NPI 1407447998) is an individual physical therapy assistant provider in Moore, Oklahoma and active in the NPI registry since January 2021.Information from the official NPPES registry record, last updated January 28, 2021.

NPPES Registry Identity

NPI1407447998
Entity TypeIndividualMale
Provider Legal NameJACOB LIVELY
Location Address526 SW 4TH ST STE 200Moore, OK 73160-5409
Mailing Address526 Sw 4th St Ste 200Moore, OK 73160-5409 · (405) 759-2700 · Fax (405) 759-2722
Fax(405) 759-2722
Sole ProprietorNo
Enumeration DateJanuary 28, 2021
NPPES CertifiedJanuary 28, 2021
NPI 1407447998 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Physical Therapy Assistant

Taxonomy 225200000X · Respiratory, Developmental, Rehabilitative and Restorative Service Providers

(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency… Show more

526 SW 4TH ST STE 200, Moore, OK 73160

Reviews for JACOB LIVELY

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Physical Therapy Assistant
526 SW 4TH ST STE 200
MOORE, OK 73160
Physical Therapy Assistant
526 SW 4TH ST STE 200
MOORE, OK 73160
Physical Therapist
526 SW 4TH ST STE 200
MOORE, OK 73160
Physical Therapy Assistant
526 SW 4TH ST STE 200
MOORE, OK 73160

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407447998, enumerated as an "individual" on January 28, 2021.

The provider is located at 526 SW 4TH ST STE 200 MOORE, OK 73160 and the phone number is (405) 759-2700.

Physical Therapy Assistant with taxonomy code 225200000X.