Jacob Wilson
Jacob Wilson is a 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
Practice location Address checks out
2000 S Main StFairfield, 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 number | 1255849626 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 18, 2018 |
| Last updated in NPPES | July 3, 2019 |
| Mailing address | 1020 945e St, Mount Sterling, IL 62353-4410 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| 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 |
Other providers in Fairfield
-
Christina Jane Meeker, PT
400 Highland St, Fairfield, IA 52556-3713 · (641) 469-4353
-
Brian Peterson, PT
907 E Briggs Ave, Fairfield, IA 52556-3007 · (641) 469-4353
-
Megan Thompson, DPT
806 E Fillmore Ave, Fairfield, IA 52556-4615 · (641) 919-2427
-
Donna Jean Williams, PT, CWS
200 S Main St, Fairfield, IA 52556 · (641) 472-4111