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

Jaclyn McCullough, PT, DPT

Individual provider Physical Therapist · NPI 1346822426

Jaclyn McCullough, PT, DPT is a Physical Therapist in Private Practice in Montgomery, New York. Qualified in 2018, 8 years ago. Practices with Resolve Physical Therapy, P. C., a 7-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
8
Licensed in
NC
In the registry since
2021
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

1128 NY-17K Ste 3
Montgomery, NY 12549-1254
Phone: (845) 769-7777
Fax: (845) 769-0007
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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 P20288 (NC)

Record details

NPI number1346822426
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedApril 27, 2021
Last updated in NPPESMarch 8, 2023
Certification dateMarch 6, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Resolve Physical Therapy, P. C. — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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