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

Nicole M Jacobson, DPT

Individual provider Physical Therapist · NPI 1386197622

Nicole M Jacobson, DPT is a Physical Therapist in San Tan Valley, Arizona. Licensed in Arizona. Registered with an NPI since 2016.

Licensed in
AZ
In the registry since
2016
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

40601 N Gantzel Rd Ste 103
San Tan Valley, AZ 85140-7036
Phone: (602) 648-5444
Fax: (602) 772-3801
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 12394 (AZ)

Record details

NPI number1386197622
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 3, 2016
Last updated in NPPESJuly 25, 2022
Certification dateJuly 25, 2022

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