Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Egbert LLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1083236301

Jacob Egbert LLC is a Physical Medicine & Rehabilitation Physician in Sandy, Utah. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8074 S 1300 E
Sandy, UT 84094-0743
Phone: (801) 561-3400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X

Record details

NPI number1083236301
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacob Egbert — Owner/ Do · (435) 938-8657
NPI enumeratedMay 8, 2020
Last updated in NPPESMay 8, 2020
Certification dateMay 8, 2020
Mailing address274 N Main St, Logan, UT 84321-3915

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