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

Arizona Jack Hedrick, DPT

Individual provider Physical Therapist · NPI 1679189344

Arizona Jack Hedrick, DPT is a Physical Therapist in Oswego, New York. Licensed in New York and Pennsylvania. Registered with an NPI since 2020.

Licensed in
NY, PA
In the registry since
2020
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

159 W 1st St
Oswego, NY 13126-2045
Phone: (315) 342-9575
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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 046551 (NY)
Physical Therapist Taxonomy 225100000X · Licence PT028949 (PA)

Record details

NPI number1679189344
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 18, 2020
Last updated in NPPESNovember 15, 2020
Certification dateNovember 15, 2020
Mailing address159 W 1st St, Oswego, NY 13126-2045

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