Jacob P Irwin (NPI# 1003985797, PAC ID# 4284731647) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1003985797 |
| PAC ID by PECOS | 4284731647 |
| Professional Enrollment ID | I20070518000277 |
| Full Name | Jacob P Irwin |
| Organization Legal Name | PRO PERFORMANCE THERAPY, LLC |
| Address |
1595 Redi Rd Suite 400 Cumming GA 30040-9797 |
| Phone Number | 7704495152 |
| Gender | M |
| Graduation Year | 2002 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 2466559828 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1595 Redi Rd, Suite 400, Cumming, GA 30040-9797 | 7704495152 | PRO PERFORMANCE THERAPY, LLC |
| 4825 S Old Peachtree Rd, Suite 1100, Norcross, GA 30071-1504 | 7704495152 | PRO PERFORMANCE THERAPY, LLC |
| Organization Legal Name | PRO PERFORMANCE THERAPY, LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gail Gustavson | Physical Therapy | Pro Performance Therapy, LLC | 1595 Redi Rd, Suite 400, Cumming, GA 30040-9797 |
| Thomas Mossbarger | Physical Therapy | Pro Performance Therapy, LLC | 1595 Redi Rd, Suite 400, Cumming, GA 30040-9797 |
| Blake Farrell Buchanan | Physical Therapy | Pro Performance Therapy, LLC | 1595 Redi Rd, Suite 400, Cumming, GA 30040-9797 |
| Street Address |
1595 REDI RD SUITE 400 |
| City | CUMMING |
| State | GA |
| Zip | 30040-9797 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gail Gustavson | Physical Therapy | Pro Performance Therapy, LLC | 1595 Redi Rd, Suite 400, Cumming, GA 30040-9797 |
| Thomas Mossbarger | Physical Therapy | Pro Performance Therapy, LLC | 1595 Redi Rd, Suite 400, Cumming, GA 30040-9797 |
| Blake Farrell Buchanan | Physical Therapy | Pro Performance Therapy, LLC | 1595 Redi Rd, Suite 400, Cumming, GA 30040-9797 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey Weber | Psychologist, Clinical | Focus Forward Counseling and Consulting, Inc | 5975 Pkwy N Blvd, Suite 300 D, Cumming, GA 30040 |
| Christopher D Killingsworth | Plastic and Reconstructive Surgery | Northside Surgical Professional Services LLC | Atlanta Aesthetics, 4150 Deputy Bill Cantrall Memorial Road Suite 240, Cumming, GA 30040 |
| Courtney Whitehead | Psychologist, Clinical | Focus Forward Counseling and Consulting, Inc | 5975 Pkwy N Blvd, Suite 300 D, Cumming, GA 30040 |
| Gilberte Bastien | Psychologist, Clinical | Focus Forward Counseling and Consulting, Inc | 5975 Pkwy N Blvd, Suite 300 D, Cumming, GA 30040 |
| Lindsey C Bustamante | Clinical Social Worker | Focus Forward Counseling and Consulting, Inc | 5975 Pkwy N Blvd, Suite 300 D, Cumming, GA 30040 |
| Sondy Cadeau | Clinical Social Worker | Focus Forward Counseling and Consulting, Inc | 5975 Pkwy N Blvd, Suite 300 D, Cumming, GA 30040 |
| Allyson Cole C Baker | Nurse Practitioner | Resurgens, PC | 4150 Deputy Bill Cantrell Memorial Rd, Suite 300, Cumming, GA 30040 |
| Jessica L Styles | Nurse Practitioner | Resurgens, PC | 4150 Deputy Bill Cantrell Memorial Rd, Suite 300, Cumming, GA 30040 |
| Christopher M Brooks | Psychologist, Clinical | Focus Forward Counseling and Consulting, Inc | 5975 Pkwy N Blvd, Suite 300 D, Cumming, GA 30040 |
| Christopher Steven Blanchard | Orthopedic Surgery | Resurgens, PC | 4150 Deputy Bill Cantrell Memorial Rd, Suite 300, Cumming, GA 30040 |
| Find all physicians in zip 30040 | |||
| City | CUMMING |
| Zip Code | 30040 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | CUMMING + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Jacob P Irwin.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.