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

Jacob Stephen Pavolik, PTA

Individual provider Physical Therapy Assistant · NPI 1417541301

Jacob Stephen Pavolik, PTA is a Physical Therapy Assistant in Salisbury, Maryland. Licensed in Maryland. Registered with an NPI since 2021.

Licensed in
MD
In the registry since
2021
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

1109 S Schumaker Dr
Salisbury, MD 21804-9256
Phone: (443) 397-5375
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence A-4995 (MD)

Record details

NPI number1417541301
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedFebruary 22, 2021
Last updated in NPPESFebruary 22, 2021
Certification dateFebruary 22, 2021

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