Jacob Deese, PT, DPT, ATC
Jacob Deese, PT, DPT, ATC is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Pineville, NC, registered under NPI 1073047759. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 13333 DORMAN RD, Pineville, NC 28134. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| P20196 | NC | Sports Medicine (Physical Medicine &… primary |
| LAT-2888 | NC | Athletic Trainer |
This provider holds licence P20196 issued in NC. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Physical Therapist In Private Practice
- PAC ID
- 7911314711
- Enrollment ID
- I20210323001140
Medicare enrolment is recorded as approved under the provider type Practitioner - Physical Therapist In Private Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Sports Medicine covers
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. NUCC Health Care Provider Taxonomy, code 2081S0010X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician Sports Medicine | P20196 | NC | primary |
| 2255A2300X | Athletic Trainer Athletic Trainer | LAT-2888 | NC |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1073047759 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Apr 19, 2017 |
| Last updated | Feb 9, 2021 |
| Status | Active |
| Sole proprietor | No |
| Credential | PT, DPT, ATC |
| Practice address |
13333 DORMAN RD Pineville, NC 28134 (704) 716-1024 |
| Mailing address |
6527 OLIVE BRANCH RD Marshville, NC 28103 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 7 | 3 | 0 | 4 | 7 | 7 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 5 | 3 | 0 | 4 | 5 | 7 | 1 |
Sum = 51 · next multiple of 10 = 60 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.