Healthcare Provider Details

I. General information

NPI: 1093474504
Provider Name (Legal Business Name): JAKOB RL BARR PT,DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2021
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5895 HARPER RD
SOLON OH
44139-1832
US

IV. Provider business mailing address

5895 HARPER RD
SOLON OH
44139-1832
US

V. Phone/Fax

Practice location:
  • Phone: 440-349-7137
  • Fax:
Mailing address:
  • Phone: 440-349-7137
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT022598
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: