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

Jacob Smith

Individual provider Physical Therapist · NPI 1821828013

Jacob Smith is a Physical Therapist in Private Practice in Saint Charles, Illinois. Graduated from Midwestern University, Chicago College of Osteopathic Med in 2024, 2 years ago. Practices with Legacy Physical Therapy and Wellness PLLC, a 6-clinician group and accepts Medicare assignment.

Years since qualifying
2
Trained at
Midwestern University, Chicago College of Osteopathic Med
In the registry since
2024
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Practice location Address checks out

3381 W Main St Ste 1
Saint Charles, IL 60175-1008
Phone: (630) 649-0511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1821828013
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 3, 2024
Last updated in NPPESAugust 3, 2024
Certification dateAugust 3, 2024
Mailing address2499 Fox Dr, Aurora, IL 60506-6412

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolMIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated 2024 (2 years in practice)
Group practice Legacy Physical Therapy And Wellness Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Saint Charles