MR. JACOB CHRISTIAN HARLE (DPT, ATC) – Physical Therapist, NPI 1740779057

MR. JACOB CHRISTIAN HARLE (DPT, ATC) is a healthcare provider. based in Saint paul, Minnesota. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT, ATC. They hold a License No. 13311 (MN). The NPI Number for MR. JACOB CHRISTIAN HARLE (DPT, ATC) is 1740779057

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
MR. JACOB CHRISTIAN HARLE (DPT, ATC)
NPI
1740779057
Phone
(641) 512-4594
Address
1039 BLAIR AVE
Enumeration Date
2 May 2018
Last Update Date
14 November 2024

Doctor Profile

Medical School Name
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Secondary Phone
8776090123
Graduation Year
2021 (5 years ago)
PAC ID
0840645719
Group Practice PAC ID
1052225042
Professional Enrollment ID
I20240229000214
Address ID
MN551051463SA30XXXSXXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:8State licenses:2Digital endpointsOther names

2,109 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MN

Provider Addresses for MR. JACOB CHRISTIAN HARLE (DPT, ATC)

  • 1039 BLAIR AVE

    SAINT PAUL, MN 551042117

    Phone: (641) 512-4594

    Type: Mailing

  • 30 FAIRVIEW AVE S STE 200

    SAINT PAUL, MN 551051463

    Phone: (952) 835-4512

    Type: Location

  • 3900 BETHEL DR # DR991

    SAINT PAUL, MN 551126902

    Phone: (641) 512-4594

    Type: Location

  • 210 VILLAGE DR APT 9

    TIFFIN, IA 523409238

    Phone: (641) 512-4594

    Type: Mailing

  • 1120 TALL GRASS AVE

    TIFFIN, IA 523404753

    Phone: (641) 512-4594

    Type: Location

  • 1818, West 5th Avenue North, Clear Lake, Cerro Gordo County, Iowa, 50428, United States

    CLEAR LAKE, IA 504281241

    Phone: (641) 512-4594

    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: 2024-02-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20231012001594IPhysical Therapist In Private PracticeWATBD
I20240229000214IPhysical Therapist In Private PracticeMNTBD

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 activities19228$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes15328$0
97140Therapy procedure using manual technique, each 15 minutes10720$0
97162Evaluation for physical therapy, typically 30 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 55104)

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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: 1052225042View full group profile
NameSpecialtyState
Physician AssistantMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
-MN
Physical Therapist In Private PracticeMN
-MN
Orthopedic SurgeryMN
-MN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeTX

Reviews

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Frequently asked questions

What number should I use to identify MR. JACOB CHRISTIAN HARLE (DPT, ATC) for billing?
Administrative and clinical systems typically use NPI 1740779057 for MR. JACOB CHRISTIAN HARLE (DPT, ATC).
Is MR. JACOB CHRISTIAN HARLE (DPT, ATC) currently accepting referrals based on NPI status?
Registry metadata lists MR. JACOB CHRISTIAN HARLE (DPT, ATC) as active.
What does the directory say MR. JACOB CHRISTIAN HARLE (DPT, ATC) does?
Insurance directories may phrase it differently, but here MR. JACOB CHRISTIAN HARLE (DPT, ATC) maps to Physical Therapist. Clinical services aligned with this taxonomy classification.
Can patients visit MR. JACOB CHRISTIAN HARLE (DPT, ATC) in Saint Paul, Minnesota?
For routing, start with Saint Paul, Minnesota for MR. JACOB CHRISTIAN HARLE (DPT, ATC), then verify phone and hours locally.
Can I export MR. JACOB CHRISTIAN HARLE (DPT, ATC)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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