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

Jacy Jacobson

Individual provider Physical Therapist · NPI 1508671454

Jacy Jacobson is a Physical Therapist in Private Practice in Missoula, Montana. Qualified in 2024, 2 years ago. Practices with Northern Rockies Orthopaedics, PLLP, a 25-clinician group and accepts Medicare assignment. Licensed in Montana.

Years since qualifying
2
Licensed in
MT
In the registry since
2025
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Practice location Address checks out

2740 S Ave W Ste 101
Missoula, MT 59804-5137
Phone: (406) 543-0617
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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 30349 (MT)

Record details

NPI number1508671454
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 10, 2025
Last updated in NPPESOctober 22, 2025
Certification dateOctober 22, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Northern Rockies Orthopaedics, Pllp — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Missoula