JACOBO PHYSICAL THERAPY, INC. (NPI# 1396762332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396762332 |
| Entity Type | Organization |
| Organization Name | JACOBO PHYSICAL THERAPY, INC. |
| Practice Address |
2441 G St Bakersfield CA 93301-2809 |
| Practice Telephone | 6616318793 |
| Practice Fax Number | 6616319257 |
| Mailing Telephone | 6616318793 |
| Mailing Fax Number | 6616319257 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2015-06-03 |
| Authorized Official Name | GRACIELA CHRISTINE JACOBO (OWNER) |
| Authorized Official Telephone | 6616318793 |
| Authorized Official Credential | R.P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT14574 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD OF CAL NUMBER | 0PT145740 | 01 |
| CA | PT0145740 | 05 |
| Street Address |
2441 G ST |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93301-2809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619435625 | Damien P Flynn | Physical Medicine & Rehabilitation | 2441 G St, Bakersfield, CA 93301-2809 | 2019-03-08 |
| 1477052447 | Bowcor Inc | Community/Behavioral Health | 2441 G St, Bakersfield, CA 93301-2809 | 2018-02-06 |
| 1841576733 | Julienne Marie Brandon | Physical Therapist | 2441 G St, Bakersfield, CA 93301-2809 | 2011-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389528 | Tsoguik Broutian | Case Manager/Care Coordinator | Kern County Superintendent of Schools, 1300 17th St., Bakersfield, CA 93301 | 2020-09-08 |
| 1124665559 | Flourish Family Wellness Psychological Services, Inc. | Marriage & Family Therapist | 1909 16th Street, Suite 7, Bakersfield, CA 93301 | 2019-12-04 |
| 1063066231 | Alexandra Moo | Case Manager/Care Coordinator | 1415 Trutun Ave, Bakersfield, CA 93301 | 2019-07-26 |
| 1245898659 | Michael Dean Sampley | Marriage & Family Therapist | 2025 Westwind Dr. Ste. A, Bakersfield, CA 93301 | 2019-05-31 |
| 1740751619 | Jimmy Garcia | Counselor | Aegis Treatment Center, 1018 21st St, Bakersfield, CA 93301 | 2018-12-17 |
| 1689140741 | Prism Pain and Spine, Inc | Physical Medicine & Rehabilitation | 3838 San Dimas, Ste., 3838 San Dimas,ste. B-231, Bakersfield, CA 93301 | 2018-10-16 |
| 1215437678 | Andria Sousa | Behavior Technician | 2535 16th St Ste 215&210, Bakersfield, CA 93301 | 2018-02-12 |
| 1003329889 | County of Kern | Clinic/Center | 820 34th Street, Suite 100,201,202, 203, Bakersfield, CA 93301 | 2017-11-15 |
| 1306358577 | Ashley Marie Pereida | Case Manager/Care Coordinator | 3300 Truxtun Ave. Suite 200, Bakersfield, CA 93301 | 2017-10-28 |
| 1982123113 | Amber Freer Hayes | Licensed Vocational Nurse | 2001, 28th Street, Bakersfield, CA 93301 | 2017-09-19 |
| Find all providers in zip 93301 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083236590 | Bakersfield Community Physical Therapy | Clinic/Center | 1811 Oak St Ste 150, Bakersfield, CA 93301-3064 | 2020-05-07 |
| 1043672066 | Kinetica Physical Therapy Inc | Clinic/Center | 5300 Woodmere Dr, Suite 105, Bakersfield, CA 93313-2796 | 2016-03-29 |
| 1336178144 | Chadam Associates Inc, A Physical Therapy Corporation | Clinic/Center | 3801 Buck Owens Blvd, #116, Bakersfield, CA 93308-4958 | 2006-07-02 |
| 1497747562 | Glinn & Giordano Physical Therapy, Inc. | Clinic/Center | 9501 Flushing Quail Rd, Suites 8,9 & 10, Bakersfield, CA 93312-2660 | 2005-08-16 |
| 1356975668 | Balance and Motion, Inc | Clinic/Center | 105 White Alder Dr, Bakersfield, CA 93314-9880 | 2020-02-25 |
| 1891010898 | Bakersfield Physical Therapy-fitness, Inc | Clinic/Center | 1400 Easton Dr, Suite 131, Bakersfield, CA 93309-9412 | 2010-04-01 |
| 1083848832 | Kern County Physical Therapy, Inc. | Clinic/Center | 3201 F St Ste 250, Bakersfield, CA 93301-1846 | 2009-05-07 |
| 1225291925 | Occupational Health Centers of California, A Medical Corporation | Clinic/Center | 9500 Stockdale Hwy, Suites 100 & 103, Bakersfield, CA 93311-3620 | 2008-07-03 |
| 1083805444 | Occupational Health Centers of California | Clinic/Center | 9500 Stockdale Hwy, Suites 100 & 103, Bakersfield, CA 93311 | 2007-08-09 |
| 1063610277 | Arc Therapy Services LLC | Clinic/Center | 350 Calloway Dr, Bakersfield, CA 93312-2974 | 2007-07-10 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93301 |
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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.