ANDREW JACOBS (PT) – Physical Therapist, NPI 1366454613

ANDREW JACOBS (PT) is a healthcare provider. based in Olivette, Missouri. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 2004030787 (MO). The NPI Number for ANDREW JACOBS (PT) is 1366454613

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW JACOBS (PT)
NPI
1366454613
Phone
(636) 728-1777
Address
9437 OLIVE BLVD
Enumeration Date
13 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5154402676
Graduation Year
2002 (24 years ago)
PAC ID
7911992664
Group Practice PAC ID
3476691551
Professional Enrollment ID
I20120221000347
Address ID
IA503258288CL12499AVEX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,533 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MO

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Provider Addresses for ANDREW JACOBS (PT)

  • 9437, Olive Boulevard, Olivette, Saint Louis County, Missouri, 63132, United States

    OLIVETTE, MO 631323130

    Phone: (636) 728-1777

    Type: Location

  • 11124, Stoney View Lane, Outpost Estates, Saint Louis County, Missouri, 63146, United States

    SAINT LOUIS, MO 631465621

    Phone: (314) 692-0526

    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: 2012-02-21

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
I20120221000347IPhysical 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities48380$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes48180$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes36571$0
97140Therapy procedure using manual technique, each 15 minutes15138$0
97161Evaluation for physical therapy, typically 20 minutes6456$0
View full utilization report →

Insurance plans in this area (ZIP 63132)

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Provider's Procedures

ANDREW JACOBS (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYMO97001Physical therapy evaluation2724

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: 3476691551View full group profile
NameSpecialtyState
Physician AssistantIA
-IA
-IA
Physical Medicine And RehabilitationIA
-IA
P O D I A T R YIA
P O D I A T R YIA
Orthopedic Surgery, General SurgeryIA
Sports Medicine, Family PracticeSD
-IA

Reviews

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Frequently asked questions

Where can patients find ANDREW JACOBS (PT)'s NPI?
You can confirm ANDREW JACOBS (PT) with NPI 1366454613; it appears in the national provider directory.
Is ANDREW JACOBS (PT)'s NPI currently valid?
The extract we use shows ANDREW JACOBS (PT) as active.
Does ANDREW JACOBS (PT) list a primary specialty?
If you are matching referrals, note Physical Therapist for ANDREW JACOBS (PT). Clinical services aligned with this taxonomy classification.
Where is ANDREW JACOBS (PT)'s primary listing?
We display Olivette, Missouri because that is what the record indicates for ANDREW JACOBS (PT).
How can I contact ANDREW JACOBS (PT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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