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

Jack Tyler Hollabaugh, DPT

Individual provider Physical Therapist · NPI 1295150472

Jack Tyler Hollabaugh, DPT is a Physical Therapist in Private Practice in Fayetteville, North Carolina. Qualified in 2013, 13 years ago. Practices with Benchmark Physical Therapy of North Carolina, LLC, a 240-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
13
Licensed in
NC
In the registry since
2014
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2014 Litho Pl
Fayetteville, NC 28304-2518
Phone: (910) 484-2091
Fax: (910) 483-7456
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 14712 (NC)

Record details

NPI number1295150472
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedFebruary 25, 2014
Last updated in NPPESDecember 4, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Benchmark Physical Therapy Of North Carolina, Llc — 240 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fayetteville