Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jackson William Peckenpaugh, PT, DPT

Individual provider Physical Therapist · NPI 1932034683

Jackson William Peckenpaugh, PT, DPT is a Physical Therapist in Snohomish, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2026
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

161 Lincoln Ave Ste 120
Snohomish, WA 98290-3053
Phone: (360) 822-9068
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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 PT.PT.70132648 (WA)

Record details

NPI number1932034683
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedJune 15, 2026
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026

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