Individual provider · Type 1 NPI

Mary Kathryn Jacob, MPT, CLT

Physical Therapist · Fort Myers, FL

NPI number 1275430340 Active

Practice location

2059 Altamont Ave Ste 105
Fort Myers, FL 33901-3281

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X45555 (FL)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1275430340

Mary Kathryn Jacob, MPT, CLT's National Provider Identifier is 1275430340, issued on Oct 22, 2026. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Fort Myers, FL. The record was last updated on Oct 22, 2026.