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

Jacob Anthony Olwell, PTA

Individual provider Physical Therapy Assistant · NPI 1962228130

Jacob Anthony Olwell, PTA is a Physical Therapy Assistant in Raleigh, North Carolina. Licensed in North Carolina and Virginia. Registered with an NPI since 2024.

Licensed in
NC, VA
In the registry since
2024
Specialties on file
2
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

3001 Edwards Mill Rd
Raleigh, NC 27612-5243
Phone: (919) 781-4060
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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 7264 (NC)
Physical Therapy Assistant Taxonomy 225200000X · Licence 2306606052 (VA)

Record details

NPI number1962228130
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedDecember 3, 2024
Last updated in NPPESDecember 3, 2024
Certification dateDecember 3, 2024

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