Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jacob Owen Robertson, OTR/L

Individual provider Occupational Therapist · NPI 1487515391

Mr. Jacob Owen Robertson, OTR/L is an Occupational Therapist in Private Practice in Quincy, Massachusetts. Qualified in 2025, 1 year ago. Practices with Soleil Physical Therapy and Wellness, Inc, a 3-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
1
Licensed in
MA
In the registry since
2025
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

245 Billings Rd
Quincy, MA 02170-2105
Phone: (860) 227-6955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 36377 (MA)

Record details

NPI number1487515391
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedNovember 20, 2025
Last updated in NPPESNovember 20, 2025
Certification dateNovember 19, 2025

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Soleil Physical Therapy And Wellness, Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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