Michael Jacobs (NPI# 1063753671, PAC ID# 4587808316) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1063753671 |
| PAC ID by PECOS | 4587808316 |
| Professional Enrollment ID | I20130918000339 |
| Full Name | Michael Jacobs |
| Organization Legal Name | LIBERTY PHYSICAL THERAPY |
| Address |
100 Highland Ave Suite 305 Providence RI 02906-2753 |
| Phone Number | 4018656940 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 4082623533 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 100 Highland Ave, Suite 305, Providence, RI 02906-2753 | 4018656940 | LIBERTY PHYSICAL THERAPY |
| Organization Legal Name | LIBERTY PHYSICAL THERAPY |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Elliot Wurster | Physical Therapy | Liberty Physical Therapy | 100 Highland Ave, Suite 305, Providence, RI 02906-2753 |
| John P Mclinden Sr. | Physical Therapy | Liberty Physical Therapy | 100 Highland Ave, Suite 305, Providence, RI 02906-2753 |
| Marc Bochner | Physical Therapy | Liberty Physical Therapy | 100 Highland Ave, Suite 305, Providence, RI 02906-2753 |
| Street Address |
100 HIGHLAND AVE SUITE 305 |
| City | PROVIDENCE |
| State | RI |
| Zip | 02906-2753 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Elliot Wurster | Physical Therapy | Liberty Physical Therapy | 100 Highland Ave, Suite 305, Providence, RI 02906-2753 |
| Carolyn Dana Marvel | Clinical Social Worker | North Shore Psychiatric Associates Inc | 100 Highland Ave, Suite 204, Salem, MA 01970-2702 |
| Jonah M Licht | Nephrology | 100 Highland Ave, Providence, RI 02906-2740 | |
| William M Stone | Neurology | 100 Highland Ave, Suite 309, Providence, RI 02906-2753 | |
| Sanam Lathief | Endocrinology | Diabetes and Endocrinology Associates, Inc. | 100 Highland Ave, Suite 203, Providence, RI 02906-2752 |
| Kriti Bhagat | Optometry | Ezra L Galler Md Ltd | 100 Highland Ave, Suite 304, Providence, RI 02906-2753 |
| John P Mclinden Sr. | Physical Therapy | Liberty Physical Therapy | 100 Highland Ave, Suite 305, Providence, RI 02906-2753 |
| Flora E. Ocampo | Oral Surgery | North Shore Oral Surgery Group PC | 100 Highland Ave, Salem, MA 01970-2702 |
| Ameya Hodarkar | Endocrinology | Diabetes and Endocrinology Associates, Inc. | 100 Highland Ave, Suite 203, Providence, RI 02906-2752 |
| Christine M. Emmick | General Surgery | University Surgical Associates, Inc. | 100 Highland Ave, Suite 308, Providence, RI 02906-2753 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas Jerry Scaramella | Psychiatry | 480 Hope St, Providence, RI 02906-1631 | |
| Lisa S Schachter | Clinical Social Worker | 475 Hope St, Providence, RI 02906-1639 | |
| Nancy S Remington | Certified Clinical Nurse Specialist (cns) | 475 Hope St, Providence, RI 02906-1639 | |
| Kathryn Roth | Clinical Social Worker | 475 Hope St, Suite 1, Providence, RI 02906-1639 | |
| Danielle M Jadin | Clinical Social Worker | Family Service of Rhode Island, Inc | 55 Hope St, Providence, RI 02906-2001 |
| Alix Stockwood | Clinical Social Worker | Family Service of Rhode Island, Inc | 55 Hope St, Providence, RI 02906-2001 |
| Albert J Pechie | Clinical Social Worker | Family Service of Rhode Island, Inc | 55 Hope St, Providence, RI 02906-2001 |
| Cynthia Rosengard | Psychologist, Clinical | 295 Angell St, Providence, RI 02906-2119 | |
| Michael Zola | Chiropractic | 144 Waterman St, Suite 2, Providence, RI 02906-2126 | |
| Leila K Oconnell | Clinical Social Worker | 144 Waterman St, Suite 1, Providence, RI 02906-2126 | |
| Find all physicians in zip 02906 | |||
| City | PROVIDENCE |
| Zip Code | 02906 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | PROVIDENCE + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Michael Jacobs.
| 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.