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

Jacob Wahl, PTA

Individual provider Physical Therapy Assistant · NPI 1679030167

Jacob Wahl, PTA is a Physical Therapy Assistant in Columbus, Ohio. Licensed in Ohio. Registered with an NPI since 2019.

Licensed in
OH
In the registry since
2019
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

2742 Club Lane Dr
Columbus, OH 43219-7326
Phone: (740) 683-5831
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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 PTA011814 (OH)

Record details

NPI number1679030167
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedFebruary 21, 2019
Last updated in NPPESFebruary 21, 2019
Mailing address339 E Maple St, North Canton, OH 44720-2593

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