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

Jacob Lee Proctor, PT

Individual provider Physical Therapist · NPI 1679349740

Jacob Lee Proctor, PT is a Physical Therapist in Raleigh, North Carolina. Licensed in Louisiana. Registered with an NPI since 2023.

Licensed in
LA
In the registry since
2023
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

421 Van Thomas Dr
Raleigh, NC 27615-5232
Phone: (919) 424-5080
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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 11704 (LA)

Record details

NPI number1679349740
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedNovember 30, 2023
Last updated in NPPESNovember 30, 2023
Certification dateNovember 30, 2023

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