MR. JIM JACOB (PT) – Physical Therapist, NPI 1790767887

MR. JIM JACOB (PT) is a healthcare provider. based in Mishawaka, Indiana. specializing in Physical Therapist. They hold the professional credentials PT. They hold a License No. 05008652A (IN). The NPI Number for MR. JIM JACOB (PT) is 1790767887

Main info

Male
Name
MR. JIM JACOB (PT)
NPI
1790767887
Phone
(574) 273-6546
Address
PO BOX 308
Enumeration Date
15 November 2005
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MR. JIM JACOB (PT)

  • PO BOX 308

    MISHAWAKA, IN 465460308

    Phone: (574) 273-6546

    Fax: (574) 273-5295

    Type: Mailing

  • Jefferson Street, Remsen, Plymouth County, Iowa, 51050, United States

    PLYMOUTH, IN 465631634

    Phone: (574) 936-9600

    Fax: (574) 936-9612

    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 46546)

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Reviews

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Frequently asked questions

What identifier follows MR. JIM JACOB (PT) across health systems?
The NPI 1790767887 uniquely identifies MR. JIM JACOB (PT) in U.S. healthcare data.
Does the public listing show MR. JIM JACOB (PT) as active?
MR. JIM JACOB (PT)'s NPI record reflects an active status in NPPES.
What services align with MR. JIM JACOB (PT)'s listing?
MR. JIM JACOB (PT)'s public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
Is MR. JIM JACOB (PT) tied to Mishawaka, Indiana?
If you are local to Mishawaka, Indiana, MR. JIM JACOB (PT) may be relevant to your search.
Why is information missing for MR. JIM JACOB (PT)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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