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

Jaclyn Buczkowski

Individual provider Physical Therapist · NPI 1558216903

Jaclyn Buczkowski is a Physical Therapist in Private Practice in Silverdale, Washington. Graduated from R Franklin University of Med & SCI/Chicago Medical School in 2025, 1 year ago. Practices with Kitsap Physical Therapy and Sports Clinic Ps Inc, a 141-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
1
Trained at
R Franklin University of Med & SCI/Chicago Medical School
Licensed in
WA
In the registry since
2026
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Practice location Address checks out

2400 NW Myhre Rd Ste 102
Silverdale, WA 98383-7672
Phone: (360) 613-1834
Fax: (360) 598-3282
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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 PT70079973 (WA)

Record details

NPI number1558216903
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 2, 2026
Last updated in NPPESMarch 2, 2026
Certification dateMarch 2, 2026
Mailing address8121 N Olcott Ave, Niles, IL 60714-2943

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolR FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Graduated 2025 (1 years in practice)
Group practice Kitsap Physical Therapy And Sports Clinic Ps Inc — 141 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Silverdale