Provider Demographics
NPI:1417840190
Name:MORLANDO, JACOB MATTHEW (PT, DPT)
Entity type:Individual
Prefix:
First Name:JACOB
Middle Name:MATTHEW
Last Name:MORLANDO
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21811 N SCOTTSDALE RD STE 120
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-7448
Mailing Address - Country:US
Mailing Address - Phone:480-513-6854
Mailing Address - Fax:480-513-6897
Practice Address - Street 1:21811 N SCOTTSDALE RD STE 120
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-7448
Practice Address - Country:US
Practice Address - Phone:480-513-6854
Practice Address - Fax:480-513-6897
Is Sole Proprietor?:No
Enumeration Date:2025-05-31
Last Update Date:2025-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPT-034192225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist