JACOB E NELSON (PT) – Physical Therapist, NPI 1154842136
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JACOB E NELSON (PT)
6703 W Rio Grande Ave
Kennewick, WA 993362623
Phone: (509) 460-5588
Fax: (509) 783-5438
Type: Location
965 Goethals Dr
Richland, WA 993523527
Phone: (509) 460-5588
Fax: (509) 783-5438
Type: Location
550, West Kennewick Avenue, Tri-Cities, Benton County, Washington, 99336, United States
KENNEWICK, WA 993362927
Phone: (509) 783-8977
Fax: (509) 783-6151
Type: Mailing
6699, West Rio Grande Avenue, Tri-Cities, Benton County, Washington, 99336, United States
KENNEWICK, WA 993363301
Phone: (509) 460-5588
Fax: (509) 783-5438
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2017-07-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170728002575 | I | Physical Therapist In Private Practice | WA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 1,923 | 148 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 704 | 120 | $0 |
| 97530 | Therapy procedure using functional activities | 685 | 88 | $0 |
| 97016 | Application of blood vessel compression device | 413 | 59 | $0 |
| 97162 | Evaluation for physical therapy, typically 30 minutes | 84 | 74 | $0 |
Insurance plans in this area (ZIP 99336)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Hand Surgery | UT | |
| Physician Assistant | WA | |
| Orthopedic Surgery | WA | |
| Physician Assistant | WA | |
| Nurse Practitioner | WA | |
| Orthopedic Surgery | WA | |
| Physician Assistant | ID | |
| Physical Therapist In Private Practice | WA | |
| Certified Registered Nurse Anesthetist (Crna) | WA | |
| Physical Therapist In Private Practice | OR |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.