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

Jacob Schur, PHYSICALTHERAPY

Individual provider Physical Therapist · NPI 1225691488

Jacob Schur, PHYSICALTHERAPY is a Physical Therapist in Private Practice in Charlotte, North Carolina. Qualified in 2019, 7 years ago. Practices with Willow Grove Physical Therapy LLC, a 22-clinician group and accepts Medicare assignment. Licensed in Delaware and North Carolina.

Years since qualifying
7
Licensed in
DE, NC
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

15825 Ballantyne Medical Pl
Charlotte, NC 28277-4652
Phone: (043) 233-4097
Fax: (704) 323-3982
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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 P21179 (NC)
Physical Therapist Taxonomy 225100000X · Licence J1-0004185 (DE)

Record details

NPI number1225691488
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICALTHERAPY
Sole proprietorNo
NPI enumeratedApril 15, 2019
Last updated in NPPESOctober 24, 2022
Certification dateOctober 24, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Willow Grove Physical Therapy Llc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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