Courtney Jacob, - Occupational Therapist in Bend, OR

Courtney Jacob, is a Occupational Therapist - Pediatrics based in Bend, Oregon. Courtney Jacob is licensed to practice in Oregon (license number 455975) and their current practice location is 120 Sw Crowell Way Ste 100, Bend, Oregon. It can be reached at their office (for appointments etc.) via phone at (541) 617-8769.

NPI number for Courtney Jacob is 1053299016 and their current mailing address is 62909 Nasu Park Loop, Bend, Oregon. It does not participate in medicare program and thus does not accept medicare assignments. Their NPI Number is 1053299016.

Contact Information

Courtney Jacob,
120 Sw Crowell Way Ste 100,
Bend, OR 97702-3429
(541) 617-8769
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameCourtney Jacob
GenderFacility
SpecialityOccupational Therapist - Pediatrics
Location120 Sw Crowell Way Ste 100, Bend, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. It may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1053299016
  • Provider Enumeration Date: 08/26/2025
  • Last Update Date: 08/26/2025

Medical Identifiers

Medical identifiers for Courtney Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053299016NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225XP0200XOccupational Therapist - Pediatrics 455975 (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Courtney Jacob is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Courtney Jacob,
62909 Nasu Park Loop,
Bend, OR 97701-9775

Ph: () -
Courtney Jacob,
120 Sw Crowell Way Ste 100,
Bend, OR 97702-3429

Ph: (541) 617-8769

Reviews and Comments


Occupational Therapist in Bend, OR

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