Question 1

What type of a medical provider is Jacob Randolph Shattuck?

Accepted Answer

Jacob Randolph Shattuck is a Physical Therapy Assistant.

Question 2

Where does Jacob Randolph Shattuck practice medicine?

Accepted Answer

Jacob Randolph Shattuck has the following practice address:600 EAGLE LAKE TRL, ROME, GA 30165-2207

Question 3

Does this provider have a license number?

Accepted Answer

Jacob Randolph Shattuck has 2 license numbers, including: License Number 2136779 issued in Texas.

Question 4

Does Jacob Randolph Shattuck accept Medicare?

Accepted Answer

We do not know if this provider accepts the Medicare-approved amount.

Question 5

Does Jacob Randolph Shattuck have any board certifications?

Accepted Answer

The provider does not have any board certifications.

Question 6

Is Jacob Randolph Shattuck a member of any Medical Groups?

Accepted Answer

Jacob Randolph Shattuck is not affiliated with any medical groups.

Question 7

Does Jacob Randolph Shattuck participate in PECOS?

Accepted Answer

No, Jacob Randolph Shattuck does not participate in PECOS.

Question 8

What phone number can I call to contact Jacob Randolph Shattuck?

Accepted Answer

You can call the following number: (706)-368-9955

Question 9

Are there any exclusions against this provider?

Accepted Answer

We have not detected any Exclusions tied directly to Jacob Randolph Shattuck.

Question 10

Is Jacob Randolph Shattuck  affiliated with any hospitals?

Accepted Answer

The provider is not affiliated with any hospitals.

Question 11

When was this information last updated?

Accepted Answer

The CMS-based NPPES information was updated approximately 4 years ago (11/30/2021).

Taxonomy	State	Primary?
Physical Therapy Assistant - Taxonomy Code 225200000X	GA	Y
Physical Therapy Assistant - Taxonomy Code 225200000X	TX	N

Jacob Randolph Shattuck

Overview