JACOB ELITE PHYSICAL THERAPY
NPI 1912059700
Clinic/Center - Physical Therapy in Metamora, MI
About Jacob Elite Physical Therapy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB ELITE PHYSICAL THERAPY (NPI 1912059700) is a healthcare organization registered as a physical therapy in Metamora, Michigan and active in the NPI registry since January 2007. The organization lists Jeffrey John Jacob, Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacob Elite Physical Therapy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Jacob Elite Physical Therapy, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Elite Physical Therapy And Wellness's NPI number?
The NPI number for Elite Physical Therapy And Wellness is 1912059700. It was assigned to this organization in the NPPES registry on January 18, 2007. The provider is doing business as Jacob Elite Physical Therapy.
Where is Elite Physical Therapy And Wellness located?
Elite Physical Therapy And Wellness is located at 4053 S Lapeer Rd Suite C, Metamora, MI 48455. The listed phone number is (810) 678-3202.
What is Elite Physical Therapy And Wellness's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Elite Physical Therapy And Wellness enrolled in Medicare?
Yes. Elite Physical Therapy And Wellness is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Elite Physical Therapy And Wellness?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Elite Physical Therapy And Wellness. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Elite Physical Therapy And Wellness accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Elite Physical Therapy And Wellness 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 Elite Physical Therapy And Wellness was last updated on April 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Jacob Elite Physical Therapy · NPI 1912059700
Physical Therapy organization in Metamora, Michigan. Organization record, active in the CMS NPPES registry since January 18, 2007.
## Identity
- **NPI:** 1912059700 (Entity type: Organization)
- **Enumerated:** January 18, 2007
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Legal business name:** Elite Physical Therapy And Wellness
- **Organization subpart:** No
- **Authorized official:** Jeffrey Jacob, EXECUTIVE OFFICER
## Practice location
- **Address:** 4053 S LAPEER RD, SUITE C, Metamora, MI 48455-8721
- **Phone:** (810) 678-3202 · **Fax:** (810) 678-3205
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 2, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1912059700) · Data from the CMS NPPES public registry.