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

Dr. Jacob Wayne Munger, DPT

Individual provider Physical Therapist · NPI 1063038180

Dr. Jacob Wayne Munger, DPT is a Physical Therapist in Private Practice in Jackson, Wyoming. Qualified in 2020, 6 years ago. Practices with Four Pines Physical Therapy Limited Partnership, a 13-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2020
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

1090 S Hwy 89
Jackson, WY 83001-9484
Phone: (307) 733-5577
Fax: (307) 733-5505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1063038180
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 24, 2020
Last updated in NPPESJune 24, 2020
Certification dateJune 24, 2020
Mailing addressPo Box 8467, Jackson, WY 83002-8467

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 Four Pines Physical Therapy Limited Partnership — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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