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

Jacob Blake Daniels, DPT

Individual provider Physical Therapist · NPI 1295288017

Jacob Blake Daniels, DPT is a Physical Therapist in Brandon, Mississippi. Licensed in Mississippi. Registered with an NPI since 2016.

Licensed in
MS
In the registry since
2016
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

1220 N Shore Pkwy Ste B
Brandon, MS 39047-6383
Phone: (601) 829-0505
Fax: (601) 829-0506
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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 PT5952 (MS)

Record details

NPI number1295288017
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJuly 28, 2016
Last updated in NPPESJuly 28, 2016
Mailing address2416 Highway 45 N, Columbus, MS 39705-1320

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