MS. JEANNE JACOBS PT PA-C NPI 1770753022

NPI Information

NPI: 1770753022
Provider Name: MS. JEANNE JACOBS, PT, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
21 TOTMAN ST
FIRST FLOOR
QUINCY, MA
ZIP 02169
Phone: (617) 770-4167
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MS. Jeanne Jacobs, PT, PA-C is a medical physician assistant in Quincy, MA. MS. Jeanne Jacobs, PT, PA-C NPI is 1770753022. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

21 TOTMAN ST
FIRST FLOOR
QUINCY, MA
ZIP 02169-564
Phone: (617) 770-4167
Fax: (617) 770-0971

The NPI 1770753022 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/3/2008 and was last updated on 11/29/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2251X0800X	Physical Therapist	Orthopedic	18146	MASSACHUSETTS	No
2	363AM0700X	Physician Assistant	Medical	PA4272	MASSACHUSETTS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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