Jake Paul, in Grosse Pointe Woods, MI - Medicare Physical Therapist In Private Practice Provider

Jake Paul, is a medicare enrolled "Physical Therapist" provider in Grosse Pointe Woods, Michigan. He graduated from medical school in 2025 and has 1 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Athletico Ltd and his current practice location is 20873 Mack Ave, Grosse Pointe Woods, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 466-7884.

Jake Paul is licensed to practice in Michigan (license number 5501304403) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1225988959.

Contact Information

	Jake Paul,
	20873 Mack Ave, Grosse Pointe Woods, MI 48236-1313
	(313) 466-7884
	(313) 464-0001

Map and Direction

Healthcare Provider's Profile

Full Name	Jake Paul
Gender	Male
Speciality	Physical Therapist In Private Practice
Experience	1 Years
Location	20873 Mack Ave, Grosse Pointe Woods, Michigan
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jake Paul graduated from medical school in 2025

NPI Data:

NPI Number: 1225988959
Provider Enumeration Date: 02/02/2026
Last Update Date: 05/07/2026

Medicare PECOS Information:

PECOS PAC ID: 2264901768
Enrollment ID: I20260514000153

Medical Identifiers

Medical identifiers for Jake Paul such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225988959	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	5501304403 (Michigan)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Athletico Ltd	4789602681	2174

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. Jake Paul is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jake Paul, 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: () -	Jake Paul, 20873 Mack Ave, Grosse Pointe Woods, MI 48236-1313 Ph: (313) 466-7884

Reviews and Comments

Physical Therapist in Grosse Pointe Woods, MI

Joseph Jijo Jacob, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 Cook Rd, Grosse Pointe Woods, MI 48236 Phone: 313-885-5005
Abhijitsinh Dashrathsinh Vaghela, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 21401 Mack Ave, Grosse Pointe Woods, MI 48236 Phone: 313-743-9274
Megan Ozimek, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20225 Mack Ave, Grosse Pointe Woods, MI 48236 Phone: 313-882-6419 Fax: 313-882-6470
Ms. Melissa Radner, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20225 Mack Ave, Grosse Pointe Woods, MI 48236 Phone: 313-882-6419 Fax: 313-882-6470
Paul Babcock, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 Cook Rd, Grosse Pointe Woods, MI 48236 Phone: 313-821-7095
Edwin C Tamayo Jr., PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 21401 Mack Ave, Grosse Pointe Woods, MI 48236 Phone: 586-778-0800

Jake Paul, - Medicare Physical Therapist in Grosse Pointe Woods, MI