Jacob Pawol, PT, DPT, OCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

095370 Issued in IA

Practice address

1040 SE Frontier Ave Unit 120
Waukee, IA 50263-8969

Phone

(515) 216-0847

Fax

(515) 724-7270

NPI assigned

May 3, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fortitude & Freedom, PLC

  dba Fortitude & Freedom Human Performance, PLC

  • Physical Therapy Clinic/Center
  • Waukee, IA
  • NPI 1831851781
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1558716027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 SE FRONTIER AVE UNIT 120",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502638969",
            "telephone_number": "515-216-0847",
            "fax_number": "515-724-7270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 SE FRONTIER AVE UNIT 120",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502638969",
            "telephone_number": "515-216-0847",
            "fax_number": "515-724-7270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAWOL",
        "first_name": "JACOB",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-03",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "095370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dena Ruth Owens, LMHC
• Andrew Padovani, DC
• Jasmina Pajazetovic, LMHC, NCC
• Allison J Palecek, DMD
• Ashley Paulson, LMHC
• Kendra Lynn Paye
• Michelle M Pearson, OT
• Diana Pelzer, DDS
• Inga Elisabeth Peterson
• Kelsey Pettitt, DC

• Physical Therapist in Waukee, IA
• Providers in Waukee, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.