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

Jacob Dewulf

Individual provider Physical Therapist · NPI 1295465425

Jacob Dewulf is a Physical Therapist in Private Practice in Kennewick, Washington. Qualified in 2022, 4 years ago. Practices with Shellman Inc PA, a 45-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022
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Practice location Address checks out

4303 W 24th Ave # B
Kennewick, WA 99338-1963
Phone: (509) 572-3836
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1295465425
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 11, 2022
Last updated in NPPESJune 11, 2022
Certification dateJune 11, 2022
Mailing address1200 Corporate Dr Ste 400, Hoover, AL 35242-5424

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 Shellman Inc Pa — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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