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

Dr. Jacob Irwin, PT

Individual provider Physical Therapist · NPI 1003985797

Dr. Jacob Irwin, PT is a Physical Therapist in Private Practice in Marietta, Georgia. Qualified in 2002, 24 years ago. Practices with Pro Performance Therapy, LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
24
Licensed in
GA
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4343 Shallowford Rd Ste 630
Marietta, GA 30062-5080
Phone: (770) 449-5152
Fax: (866) 821-7683
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence GA07576 (GA)

Record details

NPI number1003985797
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedNovember 7, 2006
Last updated in NPPESApril 21, 2021
Certification dateApril 21, 2021
Mailing address4343 Shallowford Rd Ste 630, Marietta, GA 30062-5080

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Pro Performance Therapy, Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Marietta