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

Courtney Jacob

Individual provider Pediatric Occupational Therapist · NPI 1053299016

Courtney Jacob is a Pediatric Occupational Therapist in Bend, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2025

Practice location Address checks out

120 SW Crowell Way Ste 100
Bend, OR 97702-3429
Phone: (541) 617-8769
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 455975 (OR)

Record details

NPI number1053299016
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorYes
NPI enumeratedAugust 26, 2025
Last updated in NPPESAugust 26, 2025
Certification dateAugust 26, 2025
Mailing address62909 Nasu Park Loop, Bend, OR 97701-9775

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