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

Jacob Bennett Tingom, PT, DPT

Individual provider Physical Therapist · NPI 1992597595

Jacob Bennett Tingom, PT, DPT is a Physical Therapist in Private Practice in Charlotte, North Carolina. Qualified in 2025, 1 year ago. Practices with Architech Sports and Physical Therapy LLC, a 46-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
1
Licensed in
NC
In the registry since
2025
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

9405 Bryant Farms Rd
Charlotte, NC 28277-1642
Phone: (908) 207-2707
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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 P24733 (NC)

Record details

NPI number1992597595
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedMay 20, 2025
Last updated in NPPESFebruary 11, 2026
Certification dateFebruary 11, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Architech Sports And Physical Therapy Llc — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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