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

Jalen J Jackson

Individual provider Physical Therapist · NPI 1366321366

Jalen J Jackson is a Physical Therapist in Private Practice in Chicago, Illinois. Qualified in 2025, 1 year ago. Practices with Athletico Ltd, a 2,186-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
1
Licensed in
IL
In the registry since
2025
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Practice location Address checks out

5336 S State St
Chicago, IL 60609-6329
Phone: (773) 358-7125
Fax: (773) 471-4999
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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 070029441 (IL)

Record details

NPI number1366321366
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 2, 2025
Last updated in NPPESSeptember 30, 2025
Certification dateSeptember 30, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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