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Deactivated NPI 1821299082 Deactivated / Inactive NPI Male Practitioner

Phillip C Jacobs , ATC

Specialist/Technologist - Athletic Trainer • Sugar Grove, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Phillip Jacobs has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 29, 2007
NPI Deactivation Date February 24, 2020
Total Practice Duration ~13 Years of Practice (2007 – 2020)

Professional Overview & Biography Verified Profile Summary

Phillip Jacobs, ATC was a registered Specialist/Technologist - Athletic Trainer practicing in Sugar Grove, IL. Throughout an active medical career spanning 13 years, Phillip Jacobs provided care at the practice location at RT. 47 AT WAUBONSEE DR. until profile deactivation on 2020-02-24.

Practice Location & Contact Primary Location

Practice Address

Rt. 47 At Waubonsee Dr.

Sugar Grove, IL 60554

Telephone 6304662528
Fax 6304669108

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Sugar Grove, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.0 Yrs
Regional Practice Density
4 Specialists

Practicing in Sugar Grove, IL (1955 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 24, 2020

Record deactivated on February 24, 2020

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at RT. 47 AT WAUBONSEE DR., SUGAR GROVE, IL 60554 (Tel: 6304662528)

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Updated Business Mailing Address July 08, 2007

Registered at 409 N JEFFERSON ST, HARVARD, IL 600333034

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Provider Name / Credentials Updated July 08, 2007

Recorded as PHILLIP JACOBS, ATC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist/Technologist

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Initial NPI Registration & Enumeration May 29, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1821299082
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 29, 2007
Last Update: July 08, 2007
Deactivation Date: February 24, 2020

Mailing Address

409 N Jefferson St

Harvard, IL 600333034

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.