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

Jackson D Davenport, DPT

Individual provider Physical Therapist · NPI 1376277905

Jackson D Davenport, DPT is a Physical Therapist in Munster, Indiana. Practices as a sole proprietor and works from 4 locations. Licensed in Illinois and Indiana.

Licensed in
IL, IN
In the registry since
2022
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

9950 Calumet Ave
Munster, IN 46321-4028
Phone: (219) 934-2840
Fax: (219) 934-2841
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 8840 Calumet Ave Ste 103, Munster, IN 46321-2546 — (219) 703-2416
  • 1545 W Us Highway 30, Schererville, IN 46375-1562 — (219) 440-5360
  • 1545 W Us Highway 30, Schererville, IN 46375-1562 — (219) 836-5381

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 05014727A (IN)
Physical Therapist Taxonomy 225100000X · Licence 070026760 (IL)

Record details

NPI number1376277905
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedJuly 11, 2022
Last updated in NPPESSeptember 26, 2022
Certification dateSeptember 26, 2022
Mailing address8558 Broadway, Merrillville, IN 46410-7032

Other providers in Munster