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

Jenna Mixon, DPT

Individual provider Physical Therapist · NPI 1861983777

Jenna Mixon, DPT is a Physical Therapist in Cicero, Illinois. Licensed in Wisconsin. Registered with an NPI since 2018.

Licensed in
WI
In the registry since
2018
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

5110 W 24th St
Cicero, IL 60804-2948
Phone: (847) 364-2435
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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 14163-24 (WI)

Record details

NPI number1861983777
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 25, 2018
Last updated in NPPESSeptember 21, 2022
Certification dateSeptember 21, 2022

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