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

Jacob Van Wart, DPT

Individual provider Physical Therapist · NPI 1609553270

Jacob Van Wart, DPT is a Physical Therapist in Private Practice in Jamestown, New York. Qualified in 2023, 3 years ago. Practices with Chautauqua County Chapter of Nysarc Inc, an 11-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2023
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

75 Jones And Gifford Ave
Jamestown, NY 14701-2828
Phone: (716) 483-2344
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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 P122236 (NY)

Record details

NPI number1609553270
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJuly 5, 2023
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025
Mailing address75 Jones And Gifford Ave, Jamestown, NY 14701-2828

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Chautauqua County Chapter Of Nysarc Inc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Jamestown