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

Jacob Wall

Individual provider Physical Therapist · NPI 1245118801

Jacob Wall is a Physical Therapist in Silverton, Oregon. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

240 Phelps St
Silverton, OR 97381-2042
Phone: (503) 873-1647
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1245118801
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 22, 2025
Last updated in NPPESAugust 22, 2025
Certification dateAugust 22, 2025
Mailing address57 Gildersleeve Ave, Collinsville, CT 06019-3009

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