Jacob Adam Papale, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A8724 Issued in NC

Practice address

1531 Cinema Dr Ste C
Statesville, NC 28625-5403

Phone

(704) 746-0022

Fax

(980) 443-6070

NPI assigned

Oct 21, 2025

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)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Abundant Life Physical Therapy, LLC

  • Physical Therapist
  • Statesville, NC
  • NPI 1023723798
  NPD

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

{
    "created_epoch": "1761004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1811864291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 CINEMA DR STE C",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286255403",
            "telephone_number": "704-746-0022",
            "fax_number": "980-443-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 CINEMA DR STE C",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286255403",
            "telephone_number": "704-746-0022",
            "fax_number": "980-443-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPALE",
        "first_name": "JACOB",
        "middle_name": "ADAM",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-21",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "A8724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah E Pagano, CRNA
• Tiedre Susanne Palmer, FNP
• Palmetto Home Infusion LLC
• Pam Westmoreland Sholar MD PLLC
• Nikol Papa, DPT
• Victor Conrad Paquin, F.P.N.
• Rosalba Pardo, PSYD
• Jennifer Lynn Parker, D.O.
• Julia Ruth Parsons, PA-C
• Partnership for a Drug Free NC Inc

• Physical Therapy Assistant in Statesville, NC
• Providers in Statesville, NC by specialty
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; 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.