Jaclyn Ann Polk, DPT
NPI 1679848667ActiveIndividual· Physical Therapist· Concord, NC
Physical Therapist (DPT) in Concord, North Carolina, licensed in NC, VA and DC, with an NPI issued in March 2012. Enrolled in Medicare as practitioner - physical therapist in private practice and practitioner - physical therapist in private practice.
Overview
| NPI | 1679848667 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | Mar 9, 2012 |
| Last updated in NPPES | Aug 6, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | P18923 | NC |
| Physical Therapist | 225100000X | 2305207809 | VA |
| Physical Therapist | 225100000X | PT871313 | DC |
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 (DC); Practitioner - Physical Therapist in Private Practice (VA) |
|---|
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All 104 physical therapists in Concord · All physical therapists in North Carolina