JACOB SMITH – Physical Therapist, NPI 1821828013

JACOB SMITH is a healthcare provider. based in Aurora, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. The NPI Number for JACOB SMITH is 1821828013

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
JACOB SMITH
NPI
1821828013
Phone
(630) 715-0144
Address
2499 FOX DR
Enumeration Date
3 August 2024
Last Update Date
3 August 2024

Doctor Profile

Medical School Name
MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Secondary Phone
6305490511
Graduation Year
2024 (2 years ago)
PAC ID
4880126085
Group Practice PAC ID
2769677608
Professional Enrollment ID
I20241014000055
Address ID
IL601751008ST3381XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:1State licenses:0Digital endpointsOther names

5,030 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

Provider Addresses for JACOB SMITH

  • 2499 FOX DR

    AURORA, IL 605066412

    Phone: (630) 715-0144

    Type: Mailing

  • 3381 W MAIN ST STE 1

    SAINT CHARLES, IL 601751008

    Phone: (630) 649-0511

    Type: Location

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: 2024-10-14

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
I20241014000055IPhysical Therapist In Private PracticeILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60506)

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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: 2769677608View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeSC
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

Is JACOB SMITH listed with a National Provider Identifier?
Yes — JACOB SMITH has NPI 1821828013 on file in the registry.
Would JACOB SMITH appear as active to a payer?
You can treat JACOB SMITH as active for directory purposes; confirm clinical privileges separately.
How would a patient describe JACOB SMITH's focus?
For JACOB SMITH, the primary taxonomy reads as Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JACOB SMITH?
Travel planning: use Aurora, Illinois as the reference point for JACOB SMITH, then confirm.
When was this NPI issued?
Enumeration for JACOB SMITH is noted as August 3, 2024 where the registry provides it.

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