Jacob R Dybdahl, PT, DPT is a
Physical Medicine & Rehabilitation physician based in Jbsa Randolph, Texas. Jacob R Dybdahl is licensed to practice in Texas (license number 1309201) and his current practice location is 221 3rd St W Bldg 1040, Jbsa Randolph, Texas. He can be reached at his office (for appointments etc.) via phone at
(210) 652-3137.
NPI number for Jacob R Dybdahl is 1942773981 and his current mailing address is 221 3rd St W Bldg 1040, Jbsa Randolph, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1942773981.
Physician's Profile
| Full Name | Jacob R Dybdahl |
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| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 221 3rd St W Bldg 1040, Jbsa Randolph, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1942773981
- Provider Enumeration Date: 01/02/2019
- Last Update Date: 01/20/2021
Medical Identifiers
Medical identifiers for Jacob R Dybdahl such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942773981 | NPI | - | NPPES |
| 1309201 | Other | TX | EXECUTIVE COUNCIL OF PT AND OT EXAMINERS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 1309201 (Texas) | 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. Jacob R Dybdahl 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 |
|---|
Jacob R Dybdahl, PT, DPT
221 3rd St W Bldg 1040,
Jbsa Randolph, TX 78150-4800
Ph: (210) 652-3137 | Jacob R Dybdahl, PT, DPT
221 3rd St W Bldg 1040,
Jbsa Randolph, TX 78150-4800
Ph: (210) 652-3137 |
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