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

Individual provider Physical Therapist · NPI 1669084075

Jake Ryan Bostick, PT is a Physical Therapist in Private Practice in State College, Pennsylvania. Qualified in 2020, 6 years ago. Practices with Atlas Therapy Inc, a 4-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
6
Licensed in
PA
In the registry since
2020
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

3075 Enterprise Dr Ste 200
State College, PA 16801-3241
Phone: (814) 308-8482
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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 PT028863 (PA)

Record details

NPI number1669084075
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 18, 2020
Last updated in NPPESAugust 18, 2020
Certification dateAugust 18, 2020
Mailing address3075 Enterprise Dr Ste 200, State College, PA 16801-3241

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Atlas Therapy Inc. — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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