Jason Klobucher, PT
NPI 1093003188ActiveIndividual· Physical Therapist· Ashland, WI
Physical Therapist (PT) with The Lakes Community Health Center Inc, practicing in Ashland, Wisconsin. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1093003188 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | Jul 11, 2011 |
| Last updated in NPPES | Jun 26, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 11805-024 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (WI) |
|---|
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- The Lakes Community Health Center IncIron River, WI · 105 clinicians
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All 28 physical therapists in Ashland · All physical therapists in Wisconsin