P Praxis·MD
● Active Type 1 · Individual

Jacob Ethan Guertin

Physical Therapy Assistant·Pecos, TX· NPI 1205583846 · Enumerated 2022 · 4 years on NPI
Guertin is 1 of 3 physical therapy assistant providers in Pecos and 1 of 5445 in Texas.
NPI age
4 years
Enumerated 2022-03-03
Primary specialty
Physical Therapy Assistant
Licensed in
IL
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-03-03
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 5445 active physical therapy assistant providers in Texas.

NPI age
4 years
↓ 3 yr below median (7 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
5% of peers hold subspecialties

NPI lifetime · 2022 → 2026

2022-03Enumerated in NPPES
2022 2026

Where they practice

Practice location
2323 Texas St
Pecos, TX 797727338
📞 4324473551
Mailing address
1264 Walden Oaks Dr Apt C
Woodstock, IL 600984073
📞 8157089685

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1264 Walden Oaks Dr Apt C
Woodstock, IL 600984073
📞 8157089685

Specialties

  • Physical Therapy Assistant Primary
    (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or...
    IL license #160009521 taxonomy 225200000X

Practice context

Part of a multi-provider practice. 19 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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