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

Jacqueline Sandoval, DPT

Individual provider Physical Therapist · NPI 1497292379

Jacqueline Sandoval, DPT is a Physical Therapist in Private Practice in Milwaukee, Wisconsin. Qualified in 2011, 15 years ago. Practices with Lakeshore Medical Clinic LLC, a 379-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
15
Licensed in
WI
In the registry since
2017
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

3305 S 20th St Ste 100
Milwaukee, WI 53215-4940
Phone: (414) 645-1984
Fax: (414) 389-9050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 544 E Ogden Ave, Milwaukee, WI 53202-2698 — (414) 224-7834
  • 544 E Ogden Ave, Milwaukee, WI 53202-2698 — (414) 224-7834
  • 2615 N Downer Ave, Milwaukee, WI 53211-4245 — (414) 962-4400

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11827-24 (WI)

Record details

NPI number1497292379
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJanuary 30, 2017
Last updated in NPPESFebruary 5, 2026
Certification dateFebruary 5, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Lakeshore Medical Clinic Llc — 379 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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