COURTNEY JACOBSEN (PT) – Physical Therapist, NPI 1104668581

COURTNEY JACOBSEN (PT) is a healthcare provider. based in Newton, Iowa. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 124779 (IA). The NPI Number for COURTNEY JACOBSEN (PT) is 1104668581

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
COURTNEY JACOBSEN (PT)
NPI
1104668581
Phone
(641) 521-4839
Address
1000 E 17TH ST S
Enumeration Date
7 June 2024
Last Update Date
7 June 2024

Doctor Profile

Medical School Name
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Secondary Phone
6416763535
Graduation Year
2024 (2 years ago)
PAC ID
7315480332
Group Practice PAC ID
5193619625
Professional Enrollment ID
I20240619000482
Address ID
IA525771970OS1412XAXXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,303 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IA

Provider Addresses for COURTNEY JACOBSEN (PT)

  • 1000 E 17TH ST S

    NEWTON, IA 502085000

    Phone: (641) 521-4839

    Type: Mailing

  • 1412 A AVE W STE A

    OSKALOOSA, IA 525771970

    Phone: (641) 676-3535

    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: 2024-06-19

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
I20240619000482IPhysical Therapist In Private PracticeIATBD

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 50208)

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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: 5193619625View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeNY
Occupational Therapist In Private PracticeIA

Reviews

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Frequently asked questions

Can I verify COURTNEY JACOBSEN (PT) with an NPI only?
You can start verification with NPI 1104668581 for COURTNEY JACOBSEN (PT), then check state licensing separately.
Does the file indicate COURTNEY JACOBSEN (PT) is practicing under active NPI?
Directory data currently reports COURTNEY JACOBSEN (PT) as active.
What is COURTNEY JACOBSEN (PT) best known for clinically?
Directory data describes COURTNEY JACOBSEN (PT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Does COURTNEY JACOBSEN (PT) list a practice location?
Patients near Newton, Iowa may find COURTNEY JACOBSEN (PT) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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