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

Judd Jacob, PT, CLS

Individual provider Physical Therapist · NPI 1407152333

Judd Jacob, PT, CLS is a Physical Therapist in Yonkers, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
Specialties on file
3
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

340 S Broadway
Yonkers, NY 10705-2049
Phone: (914) 968-5125
Fax: (914) 968-5123
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Laboratory Director (Non-physician) (primary) Taxonomy 247ZC0005X · Licence 014999 (NY)
Physical Therapist Taxonomy 225100000X · Licence 032031 (NY)
Clinical Laboratory Director (Non-physician) Taxonomy 247ZC0005X · Licence 226448

Record details

NPI number1407152333
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , CLS
Sole proprietorNo
NPI enumeratedFebruary 10, 2011
Last updated in NPPESApril 13, 2016

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