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

Jacquelyn O Jacobs

Individual provider Physical Therapy Assistant · NPI 1134842784

Jacquelyn O Jacobs is a Physical Therapy Assistant in Mishawaka, Indiana. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

3630 Hickory Rd
Mishawaka, IN 46545-8865
Phone: (574) 252-7225
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X

Record details

NPI number1134842784
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 20, 2022
Last updated in NPPESSeptember 20, 2022
Certification dateSeptember 20, 2022
Mailing address1609 S 15th St, Goshen, IN 46526-4558

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