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

Mr. Jeffrey A. Jacob, PT

Individual provider Physical Therapist · NPI 1356528293

Mr. Jeffrey A. Jacob, PT is a Physical Therapist in Private Practice in Fenton, Michigan. Qualified in 1993, 33 years ago. Practices with Ivyrehab Michigan LLC, a 155-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
33
Licensed in
MI
In the registry since
2008
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

400 Rounds Dr
Fenton, MI 48430-1724
Phone: (810) 750-1996
Fax: (810) 750-6361
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 50505 Schoenherr Rd Ste 210, Shelby Twp, MI 48315-3140 — (586) 884-6689

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501006259 (MI)

Record details

NPI number1356528293
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJanuary 23, 2008
Last updated in NPPESDecember 4, 2024
Certification dateDecember 4, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Ivyrehab Michigan Llc — 155 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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