Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Michael Lee Jacobs, PT, DPT

Individual provider Physical Therapist · NPI 1063753671

Dr. Michael Lee Jacobs, PT, DPT is a Physical Therapist in Private Practice in Cranston, Rhode Island. Qualified in 2012, 14 years ago. Practices with Pappas Physical Therapy LLC, a 80-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
14
Licensed in
RI
In the registry since
2013
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

1150 Reservoir Ave Ste 103
Cranston, RI 02920-6068
Phone: (401) 942-2625
Fax: (401) 942-3097
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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 2492 (RI)

Record details

NPI number1063753671
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedMarch 6, 2013
Last updated in NPPESMarch 6, 2013
Mailing address370 Hill St, Coventry, RI 02816-7725

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Pappas Physical Therapy Llc — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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