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

Jacob Boylan

Individual provider Physical Therapist · NPI 1659003366

Jacob Boylan is a Physical Therapist in Private Practice in North Chesterfield, Virginia. Qualified in 2022, 4 years ago. Practices with Ivyrehab Sept, LLC, a 215-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Virginia.

Years since qualifying
4
Licensed in
FL, VA
In the registry since
2022
Specialties on file
3
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Practice location Address checks out

2610 Buford Rd
North Chesterfield, VA 23235-3422
Phone: (804) 923-3933
Fax: (804) 324-2999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9100 Merrill Rd Ste 10, Jacksonville, FL 32225-4349 — (904) 725-9994

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305217387 (VA)
Physical Therapist Taxonomy 225100000X
Physical Therapist Taxonomy 225100000X · Licence PT38379 (FL)

Record details

NPI number1659003366
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 30, 2022
Last updated in NPPESSeptember 30, 2025
Certification dateSeptember 30, 2025
Mailing addressPo Box 412307, Boston, MA 02241-2307

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 Ivyrehab Sept, Llc — 215 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in North Chesterfield