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

John Vincent Jacobson, PTA

Individual provider Physical Therapy Assistant · NPI 1578702916

John Vincent Jacobson, PTA is a Physical Therapy Assistant in Lake Geneva, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2009.

Licensed in
WI
In the registry since
2009
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

6722 Highway 50
Lake Geneva, WI 53147-3647
Phone: (262) 248-2029
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 1515-019 (WI)

Record details

NPI number1578702916
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedFebruary 9, 2009
Last updated in NPPESAugust 18, 2014
Mailing address101 E State St, Kennett Square, PA 19348-3109

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