PATRICE JACOBUS (NPI# 1568839801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568839801 |
| Entity Type | Individual |
| Full Name | PATRICE JACOBUS |
| Practice Address |
216 County Route 64 Mexico NY 13114-3229 |
| Mailing Address |
19472 Us Route 11 Watertown NY 13601-5387 |
| Practice Telephone | 3159635421 |
| Practice Fax Number | 3159637693 |
| Mailing Telephone | 3157823941 |
| Mailing Fax Number | 3157823816 |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2015-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
039103 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
216 COUNTY ROUTE 64 |
| City | MEXICO |
| State | NY |
| Zip Code | 13114-3229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346493186 | David M Sugar | Speech-Language Pathologist | 216 County Route 64, Mexico, NY 13114-3229 | 2008-10-24 |
| 1790319077 | Pinnacle Organization | Clinic/Center | 216 County Route 64, Mexico, NY 13114-3229 | 2020-02-26 |
| 1851874705 | Cindy Hoffmann | Occupational Therapist | 216 County Route 64, Mexico, NY 13114-3229 | 2018-09-06 |
| 1821581919 | Amanda Ranous | Occupational Therapist | 216 County Route 64, Mexico, NY 13114-3229 | 2018-06-13 |
| 1861905671 | Mary Claire Hartford | Physical Therapist | 216 County Route 64, Mexico, NY 13114-3229 | 2017-11-15 |
| 1649783556 | Elizabeth Anne Laubisch | Physical Therapist | 216 County Route 64, Mexico, NY 13114-3229 | 2017-11-14 |
| 1760906713 | Ashlee M Thompson | Specialist | 216 County Route 64, Mexico, NY 13114-3229 | 2017-08-01 |
| 1255720744 | Wendy Blake | Occupational Therapist | 216 County Route 64, Mexico, NY 13114-3229 | 2015-01-21 |
| 1154733483 | Kristina Lavery | Psychologist | 216 County Route 64, Mexico, NY 13114-3229 | 2014-05-21 |
| 1114343134 | Claire Tero | Occupational Therapist | 216 County Route 64, Mexico, NY 13114-3229 | 2014-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750740148 | Jessica Reich | Licensed Practical Nurse | 3255 Main St, #1, Mexico, NY 13114 | 2016-02-15 |
| 1356769657 | Timothy Ross | Speech-Language Pathologist | 16 Fravor Road, Mexico Academy & Central School, Mexico, NY 13114 | 2014-04-03 |
| 1275819955 | Mexico High School | Local Education Agency (LEA) | 3338 Main Street, Mexico, NY 13114 | 2011-10-26 |
| 1841575503 | Nancy Lynn Carr | Speech-Language Pathologist | County Route 64, Oswego County Boces, Mexico, NY 13114 | 2011-10-13 |
| 1710209895 | Melvyn Leonard Shindler | Pharmacist | 3318 Main St., Mexico, NY 13114 | 2010-02-17 |
| 1770818700 | Rebecca Ella Vrooman | Registered Nurse | 503 County Route 41, Mexico, NY 13114 | 2009-10-08 |
| 1437333879 | Oswego County Mental Health | Case Management | 1 Spring Street, Mexico, NY 13114 | 2007-12-20 |
| 1619158821 | Paul Albert Smith Jr. | Licensed Practical Nurse | 6 Mexico Point Drive, Mexico, NY 13114 | 2007-11-15 |
| 1992847917 | Pamela J Allen | Specialist | 216 Co Rt 64, Mexico, NY 13114 | 2007-02-13 |
| 1932275898 | Brandi S. Coleman | Optometrist | 3277 Main St., Mexico, NY 13114 | 2006-11-24 |
| Find all providers in zip 13114 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760152 | Molly Ripp | Physical Therapist | 1165 Northern Blvd Ste 403, Manhasset, NY 11030-3048 | 2020-11-02 |
| 1982202024 | Integrated Pt2 Pllc | Physical Therapist | 4720 Center Blvd Apt 3006, Long Island City, NY 11109-5648 | 2020-10-12 |
| 1891392940 | Dr Omolola Omishore Pt, P.C. | Physical Therapist | 1138 Ocean Ave Apt 6i, Brooklyn, NY 11230 | 2020-10-01 |
| 1912514704 | Hochung Jeon | Physical Therapist | 4545 Center Blvd Apt 904, Long Island City, NY 11109-5917 | 2020-09-25 |
| 1831704469 | Colleen M Brough | Physical Therapist | 710 W 168th St Ste 336, New York, NY 10032-3726 | 2020-09-10 |
| 1225641731 | Kyle Dillon | Physical Therapist | 667 Stoneleigh Ave Ste 11, Carmel, NY 10512-2454 | 2020-08-25 |
| 1346853033 | R.l. Physical Therapy | Physical Therapist | 1676 Putney Road, Valley Stream, NY 11580 | 2020-08-24 |
| 1194335059 | Donn Samson | Physical Therapist | 8762 52nd Ave Fl 2, Elmhurst, NY 11373-3938 | 2020-08-05 |
| 1679195499 | Vital Rehab LLC | Physical Therapist | 3165 Nostrand Ave Apt 4e, Brooklyn, NY 11229-3243 | 2020-05-14 |
| 1508485657 | Melvin Varghese | Physical Therapist | 172 Hoover Rd, Yonkers, NY 10710-3409 | 2020-04-09 |
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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.