Jacob Lark, DPT
NPI 1538708755ActiveIndividual· Physical Therapist· Canton, OH
Physical Therapist (DPT) with Onsite-Pt LLC, practicing in Canton, Ohio. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1538708755 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | Yes |
| NPI issued | Jan 6, 2020 |
| Last updated in NPPES | Oct 9, 2020 |
| Certified by provider | Sep 30, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 018124 | OH |
| Physical Therapist | 225100000X | PT018124 | OH |
| Clinic/Center, Physical Therapy | 261QP2000X | 297919 | CA |
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 (OH) |
|---|
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Onsite-Pt LLCChagrin Falls, OH · 2 clinicians
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