MS. KIMBERLY ANN JACOB P.T.
NPI 1669788139
Physical Therapist in Phoenix, AZ
About Ms. Kimberly Ann Jacob P.t. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KIMBERLY ANN JACOB P.T. (NPI 1669788139) is an individual physical therapist in Phoenix, Arizona, licensed in Arizona (1389) and active in the NPI registry since August 2010.
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.
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Kimberly Ann Jacob P.t. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kimberly Jacob reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Surprise, AZ 85379
- Reassigned Medicare billing, Arizona enrollment
- 11 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.
Areas of Expertise CMS Part B claims 2
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.
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 Kimberly Jacob's NPI number?
The NPI number for Kimberly Jacob is 1669788139. It was assigned to this individual provider in the NPPES registry on August 23, 2010.
Where is Kimberly Jacob located?
Kimberly Jacob practices at 118 E Waltann Ln, Phoenix, AZ 85022. The listed phone number is (602) 692-7232.
What is Kimberly Jacob's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Kimberly Jacob enrolled in Medicare?
Yes. Kimberly Jacob is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kimberly Jacob's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Jacob reassigns Medicare benefits to Arizona Mobile Therapy LLC (Surprise, AZ). The 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 Kimberly Jacob'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 Kimberly Jacob was last updated on August 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.