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

Dr. Jacob A. Sytsma, PT, DPT

Individual provider Physical Therapist · NPI 1912613431

Dr. Jacob A. Sytsma, PT, DPT is a Physical Therapist in Private Practice in Maple Grove, Minnesota. Qualified in 2021, 5 years ago. Practices as a sole proprietor. Licensed in Minnesota.

Years since qualifying
5
Licensed in
MN
In the registry since
2023
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

10900 73rd Ave N Ste 140
Maple Grove, MN 55369-5400
Phone: (763) 315-1296
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 12471 (MN)

Record details

NPI number1912613431
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedJanuary 27, 2023
Last updated in NPPESApril 22, 2025
Certification dateApril 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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