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

Jacob Duncan Maloney

Individual provider Physical Therapist · NPI 1689568917

Jacob Duncan Maloney is a Physical Therapist in Private Practice in Chicago, Illinois. Qualified in 2025, 1 year ago. Practices with Revolution Ptwl LLC, a 40-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2025

Practice location Address checks out

3168 N Broadway St
Chicago, IL 60657-4509
Phone: (312) 586-7977
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1689568917
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 3, 2025
Last updated in NPPESJune 3, 2025
Certification dateJune 3, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Revolution Ptwl Llc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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