MEDICARE: MRS. PHEBA JACOB JOHN PT

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
1	225100000X	Physical Therapist	1341029	TX

General Provider Information

NPI Number	:	1841011277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. PHEBA JACOB JOHN PT

Provider Business Mailing Address
First Line	:	9665 N CENTRAL EXPY STE 120
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231
Country	:	US
Telephone Number	:	214-989-4148
Fax Number	:

Provider Business Practice Location Address
First Line	:	9665 N CENTRAL EXPY STE 120
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-5073
Country	:	US
Telephone Number	:	214-989-4148
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2024
Last Update Date	:	10/18/2024

Similar Medicare Providers

1336640671 — DR. HAYLEY GLAUBEN ROBBINS PT, DPT
Practice Location Address:

9665 N CENTRAL EXPY STE 120
DALLAS, TX
75231-5073

Practice Phone: 713-865-2727
Practice Fax:

1023723970 — DFW FTBC 1 LLC
Practice Location Address:

9665 N CENTRAL EXPY STE 120
DALLAS, TX
75231-5073

Practice Phone: 214-989-4148
Practice Fax: 945-468-2882

1174337216 — ERIC LINBERG PT, DPT
Practice Location Address:

9665 N CENTRAL EXPY STE 120
DALLAS, TX
75231-5073

Practice Phone: 945-468-2882
Practice Fax:

1851276497 — KENNEDY DANIELLE WILLIAMS PT, DPT
Practice Location Address:

9665 N CENTRAL EXPY STE 120
DALLAS, TX
75231-5073

Practice Phone: 214-989-4148
Practice Fax:

1023091014 — DR. TANYA RENEE GRUN M.D.
Practice Location Address:

1220 RIVER BEND DR STE 250
DALLAS, TX
75247-5073

Practice Phone: 800-465-3203
Practice Fax:

1366606337 — DR. CHIMKAMA NGOZI IBE M.D
Practice Location Address:

1220 RIVER BEND DR STE 250
DALLAS, TX
75247-5073

Practice Phone: 281-222-6953
Practice Fax:

Directions to “ MRS. PHEBA JACOB JOHN PT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.