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

Jacob Gross

Individual provider Physical Therapy Assistant · NPI 1063138337

Jacob Gross is a Physical Therapy Assistant in Stanford, Kentucky. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
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Practice location Address checks out

105 Harmon Hts
Stanford, KY 40484-1111
Phone: (606) 369-2141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X

Record details

NPI number1063138337
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 18, 2022
Last updated in NPPESOctober 18, 2022
Certification dateOctober 18, 2022
Mailing address79 Norwood Dr, Science Hill, KY 42553-9325