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Jacob T. Bartz-Broussard, PT, DPT

NPI 1386218352ActiveIndividual· Physical Therapist· Lincoln, ME

Physical Therapist (PT, DPT) in Lincoln, Maine, licensed in ME, with an NPI issued in May 2021.

Overview

NPI1386218352
StatusActive
Entity typeIndividual
CredentialPT, DPT
Sole proprietorNo
NPI issuedMay 14, 2021
Last updated in NPPESMay 14, 2021
Certified by providerMay 14, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000XPT5929ME

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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