Dr Jacob Wayne Sharp, DPT is a
Physical Therapist based in Lee, Illinois. Dr Jacob Wayne Sharp is licensed to practice in Illinois (license number 070026829) and his current practice location is
211 W Hardanger Gate, Lee, Illinois. He can be reached at his office (for appointments etc.) via phone at
(309) 337-0897.
NPI number for Dr Jacob Wayne Sharp is 1033870092 and his current mailing address is 211 W Hardanger Gate, Lee, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033870092.
Healthcare Provider's Profile
| Full Name | Dr Jacob Wayne Sharp |
|---|
| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 211 W Hardanger Gate, Lee, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1033870092
- Provider Enumeration Date: 01/03/2022
- Last Update Date: 09/04/2023
Medical Identifiers
Medical identifiers for Dr Jacob Wayne Sharp such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033870092 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 116231 (Iowa) | Secondary |
| 225100000X | Physical Therapist | 207911 (Alaska) | Secondary |
| 225200000X | Physical Therapy Assistant | 160006878 (Illinois) | Secondary |
| 225100000X | Physical Therapist | 070026829 (Illinois) | 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. Dr Jacob Wayne Sharp 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 Address | Practice Location Address |
|---|
Dr Jacob Wayne Sharp, DPT
211 W Hardanger Gate,
Lee, IL 60530-9720
Ph: (309) 337-0897 | Dr Jacob Wayne Sharp, DPT
211 W Hardanger Gate,
Lee, IL 60530-9720
Ph: (309) 337-0897 |
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