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

Dr. Jacob Bartlett, PT, DPT

Individual provider Physical Therapist · NPI 1558193508

Dr. Jacob Bartlett, PT, DPT is a Physical Therapist in Private Practice in Cedar Park, Texas. Qualified in 2024, 2 years ago. Practices with Champion Performance Physical Therapy, PC, an 8-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
2
Licensed in
TX
In the registry since
2024
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

12617 Ridgeline Blvd Bldg C105
Cedar Park, TX 78613-1606
Phone: (512) 996-0441
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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 1396155 (TX)

Record details

NPI number1558193508
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedAugust 19, 2024
Last updated in NPPESAugust 19, 2024
Certification dateAugust 18, 2024
Mailing address914 Griffin St, Olean, NY 14760-3724

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Champion Performance Physical Therapy, Pc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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