JACOB ERICKSON – Physical Therapist, NPI 1386282242

JACOB ERICKSON is a healthcare provider. based in Bonney lake, Washington. specializing in Physical Therapist. They hold a License No. 1344982 (TX). The NPI Number for JACOB ERICKSON is 1386282242

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
JACOB ERICKSON
NPI
1386282242
Phone
Not provided
Address
21525 HWY 410 E STE B
Enumeration Date
11 December 2019
Last Update Date
6 May 2021

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
3608026757
Graduation Year
2019 (7 years ago)
PAC ID
8729413992
Group Practice PAC ID
9739237595
Professional Enrollment ID
I20200115003057
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

Provider Addresses for JACOB ERICKSON

  • 21525 HWY 410 E STE B

    BONNEY LAKE, WA 983914101

    Phone:

    Type: Mailing

  • 7825 3RD ST N

    STE 105

    OAKDALE, MN 551285444

    Phone: (877) 609-0123

    Fax: (888) 425-0398

    Type: Mailing

  • 6921 INDEPENDENCE PKWY

    PLANO, TX 750238337

    Phone: (877) 609-0123

    Fax: (888) 425-0398

    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.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98391)

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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: 9739237595View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeAZ
-WA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeWA
-WA

Reviews

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Frequently asked questions

What unique ID ties claims to JACOB ERICKSON?
NPI 1386282242 is assigned to JACOB ERICKSON under the national enumeration system.
Is JACOB ERICKSON's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does JACOB ERICKSON list a primary specialty?
If you are matching referrals, note Physical Therapist for JACOB ERICKSON. Clinical services aligned with this taxonomy classification.
Does JACOB ERICKSON practice in Washington?
You will see Bonney Lake, Washington on file for JACOB ERICKSON alongside any extra practice locations.
What if Bonney Lake, Washington seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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