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

Jacob Ornburn

Individual provider Physical Therapy Assistant · NPI 1760191621

Jacob Ornburn is a Physical Therapy Assistant in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2022
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Practice location Address checks out

4851 Goethe Ave
Saint Louis, MO 63116-1280
Phone: (785) 764-6792
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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 · Licence 2022007009 (MO)

Record details

NPI number1760191621
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 21, 2022
Last updated in NPPESNovember 21, 2022
Certification dateNovember 19, 2022

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