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

Jacob Gallucci, PT

Individual provider Physical Therapist · NPI 1588241350

Jacob Gallucci, PT is a Physical Therapist in Private Practice in Rochester Hills, Michigan. Qualified in 2020, 6 years ago. Practices with Hq of St Clair LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2021
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1469 N Rochester Rd
Rochester Hills, MI 48307-1122
Phone: (248) 289-5447
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501019956 (MI)

Record details

NPI number1588241350
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMarch 26, 2021
Last updated in NPPESMarch 26, 2021
Certification dateMarch 26, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Hq Of St Clair Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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