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

Jacob Lee Mundy

Individual provider Physical Therapist · NPI 1154095578

Jacob Lee Mundy is a Physical Therapist in Private Practice in Jasper, Indiana. Qualified in 2021, 5 years ago. Practices with Deaconess Specialty Physicians, Inc, a 229-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
5
Licensed in
IN
In the registry since
2021
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Practice location Address checks out

1900 Saint Charles St
Jasper, IN 47546-9145
Phone: (812) 639-9216
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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 05014242A (IN)

Record details

NPI number1154095578
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 9, 2021
Last updated in NPPESAugust 9, 2021
Certification dateAugust 9, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Deaconess Specialty Physicians, Inc — 229 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Jasper