Mr Ken R Jacobs, PT,MA - Physical Therapist in Flagstaff, AZ

Mr Ken R Jacobs, PT,MA is a Physical Therapist based in Flagstaff, Arizona. Mr Ken R Jacobs is licensed to practice in Arizona (license number 1131) and his current practice location is 3285 E Sparrow Ave, Flagstaff, Arizona. He can be reached at his office (for appointments etc.) via phone at (928) 627-6163.

NPI number for Mr Ken R Jacobs is 1447476775 and his current mailing address is 18719 N Base Camp Rd, Hart Prairie, Flagstaff, Arizona. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1447476775.

Contact Information

Mr Ken R Jacobs, PT,MA
3285 E Sparrow Ave,
Flagstaff, AZ 86004-7794
(928) 627-6163
(928) 527-6181

Map and Direction




Healthcare Provider's Profile

Full NameMr Ken R Jacobs
GenderMale
SpecialityPhysical Therapist
Location3285 E Sparrow Ave, Flagstaff, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1447476775
  • Provider Enumeration Date: 04/17/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Ken R Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447476775NPI-NPPES
1131OtherAZSTATE BOARD LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 1131 (Arizona)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. Mr Ken R Jacobs 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
Mr Ken R Jacobs, PT,MA
18719 N Base Camp Rd, Hart Prairie,
Flagstaff, AZ 86001-9377

Ph: () -
Mr Ken R Jacobs, PT,MA
3285 E Sparrow Ave,
Flagstaff, AZ 86004-7794

Ph: (928) 627-6163

Reviews and Comments


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