Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JACOB JOHN GRICAR, PT, DPT, LAT
DeactivatedMR. JACOB JOHN GRICAR, PT, DPT, LAT is a Physical Therapy Assistant healthcare provider located in MOUNT PLEASANT, Wisconsin. NPI 1659958783 is deactivated in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · MOUNT PLEASANT, WI
This NPI has been deactivated.
The record was deactivated on June 16, 2025.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1659958783
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 25, 2021 (4.227397260274 yrs)
- Last Updated
- Aug 6, 2025
- Deactivated
- Jun 16, 2025
- License
-
17322-24 (WI)
Practice Information
- Address
-
13250 WASHINGTON AVEMOUNT PLEASANT, WI, 531771516Browse WI providers · Browse ZIP 53177
- Phone
- 2627998330
- Fax
- 2627998331
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in MOUNT PLEASANT, WI
| Name | Credential | NPI |
|---|---|---|
| MR. DANIEL JAMES GAGE | PHYSICAL THERAPIST | 1639176431 |
| DIANNA MARIE HANSON | PT | 1982667853 |
| MRS. ELIZABETH MELIS | PT | 1104854447 |
| MRS. JEANETTE MARIE DE WITT | PT, ATC | 1528087442 |
| JANIKA N HENOCH | — | 1912920398 |
| MRS. KIMBERLY LYNN ARBINGER | PT | 1609983097 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.