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

Jacoby Jake Fluelling

Individual provider Physical Therapy Assistant · NPI 1912582362

Jacoby Jake Fluelling is a Physical Therapy Assistant in Marlton, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2021

Practice location Address checks out

33 Orchard Ln
Marlton, NJ 08053-1252
Phone: (856) 254-6445
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 40QB00345900 (NJ)

Record details

NPI number1912582362
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 16, 2021
Last updated in NPPESMarch 16, 2021
Certification dateFebruary 24, 2021
Mailing address33 Orchard Ln, Marlton, NJ 08053-1252

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