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

Jacob Chase Kanaby, DPT

Individual provider Physical Therapist · NPI 1508615964

Jacob Chase Kanaby, DPT is a Physical Therapist in Private Practice in South Bend, Indiana. Qualified in 2024, 2 years ago. Practices with Central Indiana Orthopedics LLC, a 146-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
2
Licensed in
IN
In the registry since
2024
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

53880 Carmichael Dr
South Bend, IN 46635-1567
Phone: (574) 247-9441
Fax: (574) 247-9442
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5230 Beck Dr Ste 7, Elkhart, IN 46516-9059 — (574) 247-9441
  • 60160 Bodnar Blvd, Mishawaka, IN 46544-9338 — (574) 247-9441

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 05015554A (IN)

Record details

NPI number1508615964
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 16, 2024
Last updated in NPPESJune 20, 2024
Certification dateJune 20, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Central Indiana Orthopedics Llc — 146 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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