Jacob Frericks PTA

  • NPI 1558623835
According to our database, the NPI number for Jacob Frericks PTA is 1558623835 and activated since 11 years ago. Jacob Frericks PTA is an individual provider who specializes in Physical Therapy Assistant, and the primary practice location is 130 S Lafayette St, Macomb, IL 61455. You can also contact Jacob Frericks PTA via telephone number is (309) 836-2500. Provider NPI information was last updated on 06/12/2012.

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Overview of Jacob Frericks PTA

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 06/12/2012
  • Last updated: 06/12/2012

Primary Scrop of Practice

  • Taxonomy Code: 225200000X
  • Specialty: Physical Therapy Assistant
  • License Number: 160005557
  • License State: IL

Provider Mailing Address

  • Address: 135 N Williamsburg Dr
    Bloomington, IL 61704
  • Phone: 309-661-8823
  • Fax: 309-661-8801

Provider Practice Location

  • Address: 130 S Lafayette St
    Suite A
    Macomb, IL 61455
  • Phone: 309-836-2500
  • Fax:

Scope of Practice

  • Taxonomy Code: 225200000X
  • Specialty: Physical Therapy Assistant
  • License Number: 160005557
  • License State: IL
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jacob Frericks PTA?
  • A: The npi number for Jacob Frericks PTA is 1558623835.
  • Q: What are Jacob Frericks PTA's specialties?
  • A: Jacob Frericks PTA's specialties are Physical Therapy Assistant and different specialities.
  • Q: What is the medical license for Jacob Frericks PTA?
  • A: The medical license number for Jacob Frericks PTA is 160005557 and issued in IL in USA.
  • Q: Where is Jacob Frericks PTA practice location?
  • A: Jacob Frericks PTA is practicing at 130 S Lafayette St, Macomb, IL 61455.
  • Q: How to contact Jacob Frericks PTA?
  • A: You can contact Jacob Frericks PTA via 309-836-2500.