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

Jisna Jacob

Individual provider Physical Therapist · NPI 1265869549

Jisna Jacob is a Physical Therapist in Private Practice in Richmond, Virginia. Qualified in 1997, 29 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
29
Licensed in
VA
In the registry since
2013
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Practice location Address checks out

7015 Carnation St Apt# 214
Richmond, VA 23225-5294
Phone: (804) 272-1927
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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 2305204288 (VA)

Record details

NPI number1265869549
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 2, 2013
Last updated in NPPESFebruary 18, 2022
Certification dateFebruary 18, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Legacy Healthcare Services Inc — 3624 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Richmond