Provider Demographics
NPI:1174036917
Name:JONES, JACOB STEVEN (PT, DPT, CES)
Entity Type:Individual
Prefix:
First Name:JACOB
Middle Name:STEVEN
Last Name:JONES
Suffix:
Gender:M
Credentials:PT, DPT, CES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 306393
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37230-6393
Mailing Address - Country:US
Mailing Address - Phone:615-373-1350
Mailing Address - Fax:615-221-9054
Practice Address - Street 1:1680 UNION AVE STE 106
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38104-3768
Practice Address - Country:US
Practice Address - Phone:901-969-0297
Practice Address - Fax:901-969-0198
Is Sole Proprietor?:No
Enumeration Date:2017-11-15
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNCP001380T225100000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist