Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Jacob Dewulf

Individual provider Physical Therapist · NPI 1295465425

Jacob Dewulf is registered under 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

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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients121
Services billed 1,596 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Shellman Inc PA

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 45 clinicians in the practice; 12 are shown here.

Other providers in Kennewick