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

Mr. Jim Jacob, PT

Individual provider Physical Therapist · NPI 1790767887

Mr. Jim Jacob, PT is a Physical Therapist in Plymouth, Indiana. Licensed in Indiana. Registered with an NPI since 2005.

Licensed in
IN
In the registry since
2005
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Practice location Address checks out

900 W Jefferson St
Plymouth, IN 46563-1634
Phone: (574) 936-9600
Fax: (574) 936-9612
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 05008652A (IN)

Record details

NPI number1790767887
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedNovember 15, 2005
Last updated in NPPESJuly 8, 2007
Mailing addressPo Box 308, Mishawaka, IN 46546-0308

Other providers in Plymouth