MEDICARE: JACOB OZMENT

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	13013	MN

General Provider Information

NPI Number	:	1912697889
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACOB OZMENT

Provider Business Mailing Address
First Line	:	3638 ROLLING VIEW DR
Second Line	:
City	:	WHITE BEAR LAKE
State	:	MN
Zip	:	55110-4926
Country	:	US
Telephone Number	:	715-310-1313
Fax Number	:

Provider Business Practice Location Address
First Line	:	3638 ROLLING VIEW DR
Second Line	:
City	:	WHITE BEAR LAKE
State	:	MN
Zip	:	55110-4926
Country	:	US
Telephone Number	:	715-310-1313
Fax Number	:

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

Provider Enumeration Date	:	05/12/2023
Last Update Date	:	05/12/2023

Similar Medicare Providers

1811287196 — MRS. JEANENE HELBIG D'AMBROSIO M.S., CCC-SLP
Practice Location Address:

22 WEST ST
WHITE PLAINS, NY
10605-4926

Practice Phone: 914-686-2162
Practice Fax:

1871116467 — ERIN VIEGUT PT, DPT
Practice Location Address:

18055 198TH AVE NW UNIT B161
BIG LAKE, MN
55309-4926

Practice Phone: 612-200-0619
Practice Fax: 612-844-9108

1497080212 — MARIANE LYN WALIN PT, DPT, CIMT
Practice Location Address:

18055 198TH AVE NW UNIT B161
BIG LAKE, MN
55309-4926

Practice Phone: 612-200-0619
Practice Fax: 612-844-9108

1023366408 — J C HEALTH SERVICES INC.
Practice Location Address:

4926 IBIS LAKE CT
KATY, TX
77449-4877

Practice Phone: 832-282-9985
Practice Fax:

1740612621 — SARAH ROWE PT, DPT
Practice Location Address:

18055 198TH AVE NW UNIT B161
BIG LAKE, MN
55309-4926

Practice Phone: 612-200-0619
Practice Fax: 612-844-9108

1417642562 — MICHELLE MARIE FODCZUK
Practice Location Address:

4926 N ISLAND DR E
BONNEY LAKE, WA
98391-8608

Practice Phone: 425-365-6968
Practice Fax: 425-386-5065

Directions to “ JACOB OZMENT ” 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.