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

Grant Charles Jacobs, DPT

Individual provider Physical Therapist · NPI 1679212302

Grant Charles Jacobs, DPT is a Physical Therapist in Private Practice in Redmond, Washington. Qualified in 2022, 4 years ago. Practices with Bay State Physical Therapy of Randolph Inc, a 443-clinician group and accepts Medicare assignment. Licensed in Colorado and Washington.

Years since qualifying
4
Licensed in
CO, WA
In the registry since
2022
Specialties on file
3
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

23515 NE Novelty Hill Rd
Redmond, WA 98053-1996
Phone: (425) 868-5260
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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 CP049811T (WA)
Physical Therapist Taxonomy 225100000X · Licence CP038703T (CO)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1679212302
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 1, 2022
Last updated in NPPESMarch 26, 2026
Certification dateMarch 26, 2026
Mailing address110 Baughmans Ln Ste 160, Frederick, MD 21702-4946

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Bay State Physical Therapy Of Randolph Inc — 443 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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