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

Jacob Leberman, PT

Individual provider Physical Therapist · NPI 1548837875

Jacob Leberman, PT is a Physical Therapist in Private Practice in Caledonia, Michigan. Qualified in 2020, 6 years ago. Practices with Advent Rehabilitation, LLC, a 57-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

10047 Crossroad Ct SE Ste 150
Caledonia, MI 49316-7317
Phone: (616) 233-3597
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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 5501019620 (MI)

Record details

NPI number1548837875
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 7, 2021
Last updated in NPPESApril 13, 2022
Certification dateApril 13, 2022
Mailing address625 Kenmoor Ave Se Ste 100, Grand Rapids, MI 49546-2395

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 Advent Rehabilitation, Llc — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Caledonia