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

Jaylen Wilson Crisosto, DPT

Individual provider Physical Therapist · NPI 1083311344

Jaylen Wilson Crisosto, DPT is a Physical Therapist in Omaha, Nebraska. Licensed in Oregon. Registered with an NPI since 2023.

Licensed in
OR
In the registry since
2023
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

2909 N 118th St Ste 200
Omaha, NE 68164-3643
Phone: (402) 509-5532
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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 63660 (OR)

Record details

NPI number1083311344
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedFebruary 7, 2023
Last updated in NPPESFebruary 7, 2023
Certification dateFebruary 7, 2023
Mailing address24500 Wattenburg Rd, Covelo, CA 95428-9758

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