DR. JACOB TYLER WRIGHT (DPT) – Physical Therapy Clinic/Center, NPI 1043941628

DR. JACOB TYLER WRIGHT (DPT) is a healthcare provider. based in Roanoke, Virginia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 2305215038 (VA). The NPI Number for DR. JACOB TYLER WRIGHT (DPT) is 1043941628

Main info

Male
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
DR. JACOB TYLER WRIGHT (DPT)
NPI
1043941628
Phone
(540) 597-3091
Address
1217 TREVINO DR NE
Enumeration Date
23 June 2022
Last Update Date
23 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5405916060
Graduation Year
2022 (4 years ago)
PAC ID
5799168217
Group Practice PAC ID
3870499957
Professional Enrollment ID
I20220817000139
Address ID
VA240831119DA29XXXWAYX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

3,080 PHYSICAL THERAPIST IN PRIVATE PRACTICE in VA

Provider Addresses for DR. JACOB TYLER WRIGHT (DPT)

  • 1217 TREVINO DR NE

    ROANOKE, VA 240195843

    Phone: (540) 597-3091

    Type: Mailing

  • 29 CEDAR RIDGE DRIVE

    DALEVILLE, VA 24083

    Phone: (304) 645-2525

    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: 2022-08-17

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
I20220817000139IPhysical Therapist In Private PracticeVATBD

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 activities1,09884$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes74684$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes27355$0
97535Training for self-care or home management, each 15 minutes13866$0
97140Therapy procedure using manual technique, each 15 minutes8342$0
View full utilization report →

Insurance plans in this area (ZIP 24019)

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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: 3870499957View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeWV
Physical Therapist In Private PracticeWV
Physical Therapist In Private PracticeWV
Physical Therapist In Private PracticeWV
Physical Therapist In Private PracticeWV
Physical Therapist In Private PracticeNC
Physical Therapist In Private PracticeWV
Physical Therapist In Private PracticeWV
Physical Therapist In Private PracticeWV

Reviews

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Frequently asked questions

What is the registry number for DR. JACOB TYLER WRIGHT (DPT)?
The registry entry for DR. JACOB TYLER WRIGHT (DPT) shows NPI 1043941628.
Should I treat DR. JACOB TYLER WRIGHT (DPT) as an active provider?
Patients and plans typically see DR. JACOB TYLER WRIGHT (DPT) as active in the national extract.
What type of care does DR. JACOB TYLER WRIGHT (DPT) provide?
DR. JACOB TYLER WRIGHT (DPT)'s profile centers on Physical Therapy Clinic/Center. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. JACOB TYLER WRIGHT (DPT)?
DR. JACOB TYLER WRIGHT (DPT) is associated with Roanoke, Virginia in the same public data insurers reference.
Why is information missing for DR. JACOB TYLER WRIGHT (DPT)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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