Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Jacob Wilson

Individual provider Physical Therapist · NPI 1255849626

Jacob Wilson is registered under Physical Therapist in Private Practice in Fairfield, Iowa. Qualified in 2017, 9 years ago. Practices with Advance Physical Therapy and Sports Medicine of Chatham LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Iowa and Washington.

Years since qualifying
9
Licensed in
IA, WA
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

2000 S Main St
Fairfield, IA 52556-9572
Phone: (641) 472-4111
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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 PT60960737 (WA)
Physical Therapist Taxonomy 225100000X · Licence 090148 (IA)

Record details

NPI number1255849626
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 18, 2018
Last updated in NPPESJuly 3, 2019

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Advance Physical Therapy And Sports Medicine Of Chatham Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients47
Services billed 2,467 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Advance Physical Therapy and Sports Medicine of Chatham LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

Other providers in Fairfield