MR. THOMAS T JACOBS (NPI# 1336218395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336218395 |
| Entity Type | Individual |
| Full Name | MR. THOMAS T JACOBS |
| Credential | LCMT |
| Practice Address |
113 Willow Ln Bristol IL 60512-9711 |
| Practice Telephone | 6305533015 |
| Mailing Telephone | 6305533015 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790201598 | Thomas Larue Jacobs | Nurse Practitioner | 475 S Columbia River Hwy Ste 105, Saint Helens, OR 97051-2860 | 2017-08-14 |
| 1760570725 | Thomas Price Jacobs | Internal Medicine | 161 Ft Washington Avenue, New York, NY 10032-3713 | 2006-10-11 |
| 1730114067 | Thomas A Jacobs | Podiatrist | 1900 Tenth Avenue, Ste 120, Columbus, GA 31901 | 2006-07-12 |
| 1285970178 | Thomas Q. Jacobs | Chiropractor | 2030 Bee Ridge Rd, Natural Healing Arts, Sarasota, FL 34239-6108 | 2012-12-20 |
| 1518229673 | Thomas A Jacobs | Dentist | 450 Sutter St, Suite #2028, San Francisco, CA 94108-4206 | 2012-06-13 |
| 1255632071 | Thomas Jacobs | Social Worker | 2100 Goshen Rd, Fort Wayne, IN 46808-1493 | 2010-11-10 |
| 1689893463 | Thomas Gregory Jacobs | Dentist | 1601 Rickenbacker Dr, Suite #7, Sun City Center, FL 33573 | 2007-04-24 |
| 1164561593 | Thomas Jacobs | Marriage & Family Therapist | 4500 Park Glen Rd, #150, St Louis Park, MN 55416-4871 | 2007-02-05 |
| Street Address |
113 WILLOW LN |
| City | BRISTOL |
| State | IL |
| Zip Code | 60512-9711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619046612 | Charlene Rae Sineni | Massage Therapist | 113 Willow Ln, Bristol, IL 60512-9711 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831606789 | Peggy Diane Anderson | Speech-Language Pathologist | 23 Hunt St, Bristol, IL 60512-2003 | 2018-01-01 |
| 1144710997 | Elise Marie Wagner | Occupational Therapist | 23 Hunt St, Bristol, IL 60512-2003 | 2018-05-17 |
| 1366911307 | Tracy Ann Snicker | Behavior Technician | 24 Park Ln, Bristol, IL 60512-9708 | 2018-11-20 |
| 1740807932 | Mohr Chiropractic | Chiropractor | 20 N Cannonball Trl, Bristol, IL 60512-9770 | 2020-07-03 |
| 1679566301 | Dale R Metcalfe | Pharmacist | 9205 Corneils Rd, Bristol, IL 60512-9771 | 2005-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911677 | Linda Rich | Social Worker | 100 Alba Dr, Bristol, CT 06010-2601 | 2020-11-01 |
| 1184224859 | Jennifer Shuler Kever | Counselor | 10611 Sr 20, Bristol, FL 32321-3232 | 2020-10-30 |
| 1073113791 | Jamie Lester | Pharmacist | 21531 Market Ctr, Bristol, VA 24202-1808 | 2020-10-30 |
| 1154921120 | Melissa Ann Mcnutt | Nurse Practitioner | 941 Windsor Ave, Bristol, TN 37620-2155 | 2020-10-29 |
| 1093315319 | Austin Tanner Cain | Behavior Technician | 40245 Sw Forest Road 181, Bristol, FL 32321-5325 | 2020-10-27 |
| 1780284109 | Erika Renea Clark | Occupational Therapy Assistant | 12005 Teakwood Ct, Bristol, VA 24202-3531 | 2020-10-26 |
| 1508465808 | Debbie Cooke Charpentier | Occupational Therapy Assistant | 22 Dwight St, Bristol, CT 06010-4105 | 2020-10-19 |
| 1619576949 | Ileana Graf | Marriage & Family Therapist | 225 N Main St Ste 301, Bristol, CT 06010-4993 | 2020-10-19 |
| 1184222952 | Lynn Nicole Ackert | Counselor | 499 Bath Road, Bristol, PA 19007 | 2020-10-14 |
| 1033726906 | Carol G Duprey | Physical Therapist | 89 Fair St, Bristol, CT 06010-5531 | 2020-09-25 |
| Find all providers in BRISTOL | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922633528 | Jennifer Dawn Rouse | Massage Therapist | 109 Country Oaks Dr, Bristol, TN 37620-9039 | 2020-03-04 |
| 1588126833 | Lia A Morgan | Massage Therapist | 36 Maywood Ln, Bristol, CT 06010-5919 | 2019-04-04 |
| 1861948648 | Bonnie Jean Bazik-assanowicz | Massage Therapist | 806 Veteran Highway, Unit B, Bristol, PA 19007-2507 | 2016-08-31 |
| 1073854303 | Christina M Williams | Massage Therapist | 1104 Terry St, Bristol, PA 19007-3430 | 2013-03-12 |
| 1306037494 | William Ray Burford | Massage Therapist | Bristol Regional Medical Center, Dept of Clinical Education, Bristol, TN 37620 | 2007-08-05 |
| 1619046612 | Charlene Rae Sineni | Massage Therapist | 113 Willow Ln, Bristol, IL 60512-9711 | 2006-11-06 |
| 1639670003 | Angelica Marie Macaraeg | Massage Therapist | 665 Terryville Ave, Bristol, CT 06010-4078 | 2018-02-21 |
| 1225558430 | Alison Lyons-barto | Massage Therapist | 72 Pine St, Bristol, CT 06010-6960 | 2017-06-20 |
| 1619334133 | Dorothy Ingram | Massage Therapist | 1001 Farmington Ave, Bristol, CT 06010-3990 | 2016-01-28 |
| 1790127058 | Therese Audet-shilinga | Massage Therapist | 1001 Farmington Ave, Suite 101, Bristol, CT 06010-3990 | 2013-07-26 |
| Find all providers in BRISTOL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.