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

Jaclyn Tate, DPT

Individual provider Physical Therapist · NPI 1518347079

Jaclyn Tate, DPT is a Physical Therapist in Private Practice in Chicago, Illinois. Qualified in 2015, 11 years ago. Practices with Athletic and Therapeutic Institute of Naperville, LLC, a 252-clinician group and accepts Medicare assignment. Licensed in Illinois and Oklahoma.

Years since qualifying
11
Licensed in
IL, OK
In the registry since
2015
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

1323 W Diversey Pkwy
Chicago, IL 60614-1207
Phone: (773) 549-2520
Fax: (773) 549-2743
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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 070-022097 (IL)
Physical Therapist Taxonomy 225100000X · Licence 4918 (OK)

Record details

NPI number1518347079
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 31, 2015
Last updated in NPPESMay 1, 2024
Certification dateMay 1, 2024
Mailing address790 Remington Blvd, Bolingbrook, IL 60440-4909

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Athletic And Therapeutic Institute Of Naperville, Llc — 252 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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