JACOB RICHARD MOYER (PT, DPT) – Physical Therapist, NPI 1548815665

JACOB RICHARD MOYER (PT, DPT) is a healthcare provider. based in Menlo park, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 297092 (CA). The NPI Number for JACOB RICHARD MOYER (PT, DPT) is 1548815665

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
JACOB RICHARD MOYER (PT, DPT)
NPI
1548815665
Phone
(866) 839-6979
Address
68 Willow Rd
Enumeration Date
6 August 2019
Last Update Date
8 October 2019

Doctor Profile

Medical School Name
HERMAN OSTROW SCHOOL OF DENTISTRY OF USC
Secondary Phone
3239129166
Graduation Year
2019 (7 years ago)
PAC ID
6002147105
Group Practice PAC ID
4587920426
Professional Enrollment ID
I20191003001784
Address ID
CA900272711LO1965XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for JACOB RICHARD MOYER (PT, DPT)

  • 68 Willow Rd

    Menlo Park, CA 940253653

    Phone: (866) 839-6979

    Type: Location

  • Hillhurst Avenue, Los Feliz, Los Angeles, Los Angeles County, California, 90027-5517, United States

    LOS ANGELES, CA 900272711

    Phone: (323) 912-9166

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-10-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191003001784IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities39538$0
97140Therapy procedure using manual technique, each 15 minutes36238$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes21437$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes15936$0
97162Evaluation for physical therapy, typically 30 minutes1817$0
View full utilization report →

Insurance plans in this area (ZIP 94025)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587920426View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

Does JACOB RICHARD MOYER (PT, DPT) have a public NPI I can cite?
Public records show JACOB RICHARD MOYER (PT, DPT) under NPI 1548815665.
Does the public listing show JACOB RICHARD MOYER (PT, DPT) as active?
JACOB RICHARD MOYER (PT, DPT)'s NPI record reflects an active status in NPPES.
What services align with JACOB RICHARD MOYER (PT, DPT)'s listing?
JACOB RICHARD MOYER (PT, DPT)'s public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
Can patients visit JACOB RICHARD MOYER (PT, DPT) in Menlo Park, California?
For routing, start with Menlo Park, California for JACOB RICHARD MOYER (PT, DPT), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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