Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacob Robert Lareau, PA-C

Individual provider Physician Assistant · NPI 1629708110

Jacob Robert Lareau, PA-C is a Physician Assistant in Portsmouth, New Hampshire. Qualified in 2022, 4 years ago. Practices with Sportsmedicine Atlantic Orthopaedics PA, a 28-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Partly verified

Some contact details are missing from the federal record.

Sportsmedicine Atlantic Orthopaedics P.a 1900 Lafayette Rd Ste A
Portsmouth, NH 03801-0380
Phone: (603) 431-3347
Fax: (603) 431-3347
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 16 Hospital Dr Ste B, York, ME 03909-1041 — (207) 363-3490

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1629708110
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 16, 2022
Last updated in NPPESJune 30, 2022
Certification dateJune 21, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Sportsmedicine Atlantic Orthopaedics Pa — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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