JACOB CARLSON
NPI 1710761069
Physical Therapist in Fort Benning, GA
About Jacob Carlson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB CARLSON (NPI 1710761069) is an individual physical therapist in Fort Benning, Georgia, licensed in South Carolina (12528) and active in the NPI registry since August 2023.
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.
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacob Carlson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Jacob Carlson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Augusta, GA 30912
- Reassigned Medicare billing, Georgia enrollment
- Medicare enrollment name: Au Medical Center, Inc.
- 74 clinicians in this Medicare group
Tucson, AZ 85712
- Reassigned Medicare billing, Arizona enrollment
- 261 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 6
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT MOORE, GA 31905
FORT BENNING, GA 31905
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 Carlson's NPI number?
The NPI number for Jacob Carlson is 1710761069. It was assigned to this individual provider in the NPPES registry on August 18, 2023.
Where is Jacob Carlson located?
Jacob Carlson practices at 6600 Van Aalst Blvd, Fort Benning, GA 31905. The listed phone number is (762) 408-2273.
What is Jacob Carlson's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Jacob Carlson enrolled in Medicare?
Yes. Jacob Carlson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jacob Carlson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Carlson reassigns Medicare benefits to 2 organizations: Mcg Health, Inc (Augusta, GA) and Foothills Sports Medicine & Rehabilitation, LLC (Tucson, AZ). Each 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 Jacob Carlson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacob Carlson accept?
Health plans from Ambetter from Arizona Complete Health and Imperial Insurance Companies, Inc. list Jacob Carlson 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 Carlson was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.