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NPI Code Detail

MEDICARE: CHERYL JACOBS

MEDICARE: CHERYL JACOBS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT7383FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17383OTHERFLLICENSE#

General Provider Information

NPI Number : 1215045364
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERYL JACOBS
Provider Business Mailing Address
First Line : 1228 POTOMAC DR
Second Line :
City : MERRITT ISLAND
State : FL
Zip : 32952-7221
Country : US
Telephone Number : 407-449-9853
Fax Number :
Provider Business Practice Location Address
First Line : 220 N SYKES CREEK PKWY STE 300
Second Line :
City : MERRITT ISLAND
State : FL
Zip : 32953-3490
Country : US
Telephone Number : 321-459-0303
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2006
Last Update Date : 02/02/2026

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Directions to “ CHERYL JACOBS ” Practice Location

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