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

Jacob R Birdsall, D-PT

Individual provider Physical Therapist · NPI 1205350865

Jacob R Birdsall, D-PT is a Physical Therapist in Appleton, Wisconsin. Works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2017
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Practice location Address checks out

2809 N Park Drive Ln
Appleton, WI 54911-1603
Phone: (920) 830-4999
Fax: (920) 380-4961
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1630 Commanche Ave, Green Bay, WI 54313-5753 — (920) 430-4700

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 13915-24 (WI)

Record details

NPI number1205350865
Entity typeIndividual (Type 1)
GenderMale
Credentials D-PT
Sole proprietorNo
NPI enumeratedJuly 26, 2017
Last updated in NPPESApril 27, 2023
Certification dateApril 27, 2023

Other providers in Appleton