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

Jacqueline D Schranck, DPT

Individual provider Physical Therapist · NPI 1124377221

Jacqueline D Schranck, DPT is a Physical Therapist in Private Practice in Brentwood, Missouri. Qualified in 2012, 14 years ago. Practices with Athletico Ltd, a 2,186-clinician group and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
14
Licensed in
IL, MO
In the registry since
2012
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

2937 S Brentwood Blvd Ste 105
Brentwood, MO 63144-2713
Phone: (314) 961-3804
Fax: (314) 961-1147
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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 2012027769 (MO)
Physical Therapist Taxonomy 225100000X · Licence 070.019678 (IL)

Record details

NPI number1124377221
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 5, 2012
Last updated in NPPESJuly 9, 2020
Certification dateJuly 9, 2020
Mailing address600 Oakmont Ln, Ste 600c, Westmont, IL 60559-5548

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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