National Provider Identifier
Jacob Van Wart, DPT
Jacob Van Wart, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Jamestown, NY and a listed phone number of (716) 483-2344.
Profile Overview
- NPI
- 1609553270
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- July 05, 2023
- Last Updated
- September 16, 2025
Practice Location
- 75 Jones And Gifford Ave
- Jamestown, NY 14701-2828
Phone: (716) 483-2344
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1609553270
- Entity Type
- Individual
- Last Name
- Van Wart
- First Name
- Jacob
- Credential
- DPT
- Mailing Street Address
- 75 Jones And Gifford Ave
- Mailing City
- Jamestown
- Mailing State
- NY
- Mailing ZIP Code
- 14701-2828
- Mailing Country
- US
- Mailing Phone
- (716) 483-2344
- Practice Street Address
- 75 Jones And Gifford Ave
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-2828
- Practice Country
- US
- Practice Phone
- (716) 483-2344
- Enumeration Date
- July 05, 2023
- Last Updated
- September 16, 2025
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- September 16, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)
- Other Identifiers
- 07956816 (NY)