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

Jake Grootenboer, PT

Individual provider Physical Therapist · NPI 1275201394

Jake Grootenboer, PT is a Physical Therapist in Private Practice in Paramus, New Jersey. Qualified in 2021, 5 years ago. Practices with Professional Occupational and Physical Therapy, PLLC, a 493-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
5
Licensed in
NJ
In the registry since
2021
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

776 N Rte 17
Paramus, NJ 07652-3117
Phone: (201) 225-9222
Fax: (201) 225-9223
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 795 Franklin Ave Bldg A, Franklin Lakes, NJ 07417-1368 — (201) 972-8967
  • 50 Craig Rd, Montvale, NJ 07645-1709 — (201) 639-6620
  • 650 From Rd Ste 420, Paramus, NJ 07652-3551 — (201) 639-6620

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA02030000 (NJ)

Record details

NPI number1275201394
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedSeptember 2, 2021
Last updated in NPPESAugust 15, 2024
Certification dateAugust 15, 2024
Mailing address331 Newman Springs Rd Ste 220, Red Bank, NJ 07701-5792

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Professional Occupational And Physical Therapy, Pllc — 493 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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