MICHELE LYNN WAITT JACOBS (DPT) – Physical Therapist, NPI 1053605345

MICHELE LYNN WAITT JACOBS (DPT) is a healthcare provider. based in Yakima, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT60092399 (WA). The NPI Number for MICHELE LYNN WAITT JACOBS (DPT) is 1053605345

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
MICHELE LYNN WAITT JACOBS (DPT)
NPI
1053605345
Phone
(509) 248-6113
Address
1608 S 24TH AVE STE 102
Enumeration Date
3 June 2011
Last Update Date
27 August 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5092486113
Graduation Year
2009 (17 years ago)
PAC ID
4082882451
Group Practice PAC ID
0244313187
Professional Enrollment ID
I20110801000011
Address ID
WA989025719YA1608XAVEX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

Provider Addresses for MICHELE LYNN WAITT JACOBS (DPT)

  • 1608 S 24TH AVE STE 102

    YAKIMA, WA 989025719

    Phone: (509) 248-6113

    Fax: (509) 457-8941

    Mailing address matches the actual address.

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: 2011-08-01

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
I20110801000011IPhysical Therapist In Private PracticeWATBD

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
97113Therapy procedure using water pool to exercises, each 15 minutes89735$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes82879$0
97140Therapy procedure using manual technique, each 15 minutes58149$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes28626$0
97116Therapy procedure for walking training, each 15 minutes24626$0
View full utilization report →

Insurance plans in this area (ZIP 98902)

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Provider's Procedures

MICHELE LYNN WAITT JACOBS (DPT) 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 THERAPYWA97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes102583
PHYSICAL THERAPYWA97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes56550

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: 0244313187View full group profile
NameSpecialtyState
-CA
Occupational Therapist In Private PracticeFL
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
-WA
-TN
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeRI
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

Does MICHELE LYNN WAITT JACOBS (DPT) have a public NPI I can cite?
Public records show MICHELE LYNN WAITT JACOBS (DPT) under NPI 1053605345.
Should I treat MICHELE LYNN WAITT JACOBS (DPT) as an active provider?
Patients and plans typically see MICHELE LYNN WAITT JACOBS (DPT) as active in the national extract.
What services align with MICHELE LYNN WAITT JACOBS (DPT)'s listing?
MICHELE LYNN WAITT JACOBS (DPT)'s public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MICHELE LYNN WAITT JACOBS (DPT)?
MICHELE LYNN WAITT JACOBS (DPT) is associated with Yakima, Washington in the same public data insurers reference.
Who maintains MICHELE LYNN WAITT JACOBS (DPT)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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