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

Jason Klobucher, PT

Individual provider Physical Therapist · NPI 1093003188

Jason Klobucher, PT is a Physical Therapist in Private Practice in Ashland, Wisconsin. Qualified in 2011, 15 years ago. Practices with The Lakes Community Health Center Inc, a 107-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
15
Licensed in
WI
In the registry since
2011
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

220 3rd Ave W Ste B
Ashland, WI 54806-1616
Phone: (715) 685-9656
Fax: (715) 685-9544
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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 11805-024 (WI)

Record details

NPI number1093003188
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 11, 2011
Last updated in NPPESJune 26, 2013

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice The Lakes Community Health Center Inc — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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