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

Mr. Jacob David Urban, PTA, CSCS, FMSC

Individual provider Physical Therapy Assistant · NPI 1427528637

Mr. Jacob David Urban, PTA, CSCS, FMSC is a Physical Therapy Assistant in Merrick, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2018
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

2745 Colonial Ave
Merrick, NY 11566-4906
Phone: (718) 801-4618
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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 011200 (NY)

Record details

NPI number1427528637
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA , CSCS , FMSC
Sole proprietorYes
NPI enumeratedNovember 30, 2018
Last updated in NPPESNovember 30, 2018

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