| Grant Charles Jacobs, DPT | |
|
110 Baughmans Ln Ste 160, Frederick, MD 21702-4946 | |
| (240) 651-1335 | |
| Not Available |
| Full Name | Grant Charles Jacobs |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 110 Baughmans Ln Ste 160, Frederick, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679212302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | CP038703T (Colorado) | Primary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| Provider Name | Select Physical Therapy Holdings Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1861460917 PECOS PAC ID: 9537076401 Enrollment ID: O20040806001003 |
| Provider Name | Lhmg Physical Therapy, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1396122842 PECOS PAC ID: 3870893738 Enrollment ID: O20151201000903 |
| Mailing Address | Practice Location Address |
|---|---|
| Grant Charles Jacobs, DPT 110 Baughmans Ln Ste 160, Frederick, MD 21702-4946 Ph: (240) 651-1335 | Grant Charles Jacobs, DPT 110 Baughmans Ln Ste 160, Frederick, MD 21702-4946 Ph: (240) 651-1335 |
Maryland Sportscare & Rehab, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 141 Thomas Johnson Dr, Ste 180, Frederick, MD 21702 Phone: 301-620-7478 Fax: 301-620-7479 | |
Occupational Therapy Consulting, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 47 E South St, Suite 01-a, Frederick, MD 21701 Phone: 240-457-9558 Fax: 240-415-9200 | |
James R. Bucklin Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5350 Partners Ct Ste B, Frederick, MD 21703 Phone: 301-732-4754 | |
Michelle Kaminski Vaziri, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 350 Montevue Lane, Frederick, MD 21702 Phone: 240-446-8853 | |
Michelle Sung, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 583 Hillcrest Dr, Frederick, MD 21703 Phone: 240-454-3731 | |
Erin Roosa, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 141 Thomas Johnson Dr, Ste 180, Frederick, MD 21702 Phone: 301-620-7478 | |
Mr. Thomas Michael Stief, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 626 Trail Ave, Frederick, MD 21701 Phone: 301-662-1997 Fax: 301-668-2202 |