Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carl Edward Jakowenko, PTA

Individual provider Physical Therapy Assistant · NPI 1992319396

Carl Edward Jakowenko, PTA is a Physical Therapy Assistant in Scarborough, Maine. Practices as a sole proprietor. Licensed in Maine.

Licensed in
ME
In the registry since
2020
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

378 Gorham Rd
Scarborough, ME 04074-9640
Phone: (207) 839-2373
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PA4170 (ME)

Record details

NPI number1992319396
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedSeptember 2, 2020
Last updated in NPPESSeptember 2, 2020
Certification dateSeptember 2, 2020
Mailing address378 Gorham Rd, Scarborough, ME 04074-9640

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