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

Jacqueline Elaine Vincentini, DPT

Individual provider Physical Therapist · NPI 1114197928

Jacqueline Elaine Vincentini, DPT is a Physical Therapist in Private Practice in Detroit, Michigan. Qualified in 2007, 19 years ago. Practices with Athletico Ltd, a 2,186-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Michigan.

Years since qualifying
19
Licensed in
IL, MI
In the registry since
2008
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

261 Mack Ave
Detroit, MI 48201
Phone: (313) 745-1100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5693 S Archer Ave, Chicago, IL 60638-1655 — (773) 284-0888

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501015943 (MI)
Physical Therapist Taxonomy 225100000X · Licence 070016243 (IL)

Record details

NPI number1114197928
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedMarch 7, 2008
Last updated in NPPESJune 7, 2018

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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