Jacob Frericks, PTA
NPI 1558623835 · Physical Therapy Assistant · Macomb, IL
Jacob Frericks, PTA is a Physical Therapy Assistant provider in Macomb, IL (NPI 1558623835).
Provider details
- NPI number
- 1558623835
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- License
- 160005557 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-06-12
- Last updated
- 2012-06-12
Frequently asked questions
- What is Jacob Frericks's NPI number?
- Jacob Frericks's National Provider Identifier (NPI) is 1558623835, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Frericks's specialty?
- Jacob Frericks is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jacob Frericks located?
- Jacob Frericks's practice location on file with NPPES is 130 S Lafayette St, Macomb, IL 61455-2289.
- What is Jacob Frericks's phone number?
- The practice phone number listed in the NPPES registry for Jacob Frericks is (309) 836-2500.
- Is Jacob Frericks's NPI active?
- Yes — Jacob Frericks's NPI (1558623835) is active in the NPPES registry as of the last update on 2012-06-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.