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

Tiffany Sam Jacobs

Individual provider Physical Therapist · NPI 1194458703

Tiffany Sam Jacobs is a Physical Therapist in Private Practice in Salem, Massachusetts. Qualified in 2022, 4 years ago. Works from 2 locations. Licensed in Colorado, Massachusetts, Maryland and Washington.

Years since qualifying
4
Licensed in
CO, MA, MD, WA
In the registry since
2022
Specialties on file
4
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Practice location Address checks out

133 Highland Ave
Salem, MA 01970-2774
Phone: (978) 741-0666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 27005 Pacific Hwy S, Des Moines, WA 98198-9250 — (253) 839-9280

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PTL89607 (MA)
Physical Therapist Taxonomy 225100000X · Licence CP038715T (CO)
Physical Therapist Taxonomy 225100000X · Licence CP049787T (WA)
Physical Therapist Taxonomy 225100000X · Licence 29136 (MD)

Record details

NPI number1194458703
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 1, 2022
Last updated in NPPESMay 28, 2026
Certification dateMay 28, 2026
Mailing address703 Granite St Ste 3, Braintree, MA 02184-5350

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

Other providers in Salem