Jake Mccullough

NPI 1275458069 · on the registry since 2026

Practice

Address: 19 W Highland Ave
Philadelphia, PA 19118
Phone: (215) 383-1660
Organisation at this address: Novacare Outpatient Rehabilitation East, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Additional practice sites

1000 Easton Rd Ste 207, Wyncote, PA

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: PA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-08-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania