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

Jodi Lynn Crockett, PT

Individual provider Physical Therapist · NPI 1992800551

Jodi Lynn Crockett, PT is a Physical Therapist in Private Practice in Fargo, North Dakota. Qualified in 1999, 27 years ago. Practices with Professional Rehabilitation Center Inc, a 12-clinician group and accepts Medicare assignment. Licensed in Minnesota and North Dakota.

Years since qualifying
27
Licensed in
MN, ND
In the registry since
2006
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

2401 41st St S
Fargo, ND 58104-7783
Phone: (701) 478-7868
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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 1288 (ND)
Physical Therapist Taxonomy 225100000X · Licence 6503 (MN)

Record details

NPI number1992800551
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedSeptember 14, 2006
Last updated in NPPESMarch 4, 2022
Certification dateMarch 4, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Professional Rehabilitation Center Inc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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