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

Jacob Pollard, DPT

Individual provider Physical Therapist · NPI 1134505662

Jacob Pollard, DPT is a Physical Therapist in Private Practice in Lees Summit, Missouri. Qualified in 2015, 11 years ago. Practices with Athletico Ltd, a 2,186-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
11
Licensed in
MO
In the registry since
2015
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

159 SW Highway 150
Lees Summit, MO 64082-4402
Phone: (816) 944-3003
Fax: (816) 334-0001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13609 California St, Omaha, NE 68154-5260 — (402) 891-1118

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2015027135 (MO)

Record details

NPI number1134505662
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 6, 2015
Last updated in NPPESAugust 30, 2025
Certification dateAugust 30, 2025
Mailing addressPo Box 373, Iberia, MO 65486-0373

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lees Summit