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

Jacob Lark, DPT

Individual provider Physical Therapist · NPI 1538708755

Jacob Lark, DPT is a Physical Therapist in Private Practice in Canton, Ohio. Qualified in 2019, 7 years ago. Practices with Onsite-Pt LLC, a 2-clinician group and accepts Medicare assignment. Licensed in California and Ohio.

Years since qualifying
7
Licensed in
CA, OH
In the registry since
2020
Specialties on file
3
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

4766 Belpar St NW
Canton, OH 44718
Phone: (330) 244-1001
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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 018124 (OH)
Physical Therapist Taxonomy 225100000X · Licence PT018124 (OH)
Physical Therapy Clinic/Center Taxonomy 261QP2000X · Licence 297919 (CA)

Record details

NPI number1538708755
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedJanuary 6, 2020
Last updated in NPPESOctober 9, 2020
Certification dateSeptember 30, 2020
Mailing address13171 Mariner Dr, North Royalton, OH 44133-5980

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Onsite-Pt Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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