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

Jonathan Devon Mack, PT, DPT

Individual provider Physical Therapist · NPI 1295561090

Jonathan Devon Mack, PT, DPT is a Physical Therapist in Private Practice in Columbia, Maryland. Graduated from Virginia Commonwealth University, School of Medicine in 2023, 3 years ago. Practices with Duke University Health System, Inc, a 1,082-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
3
Trained at
Virginia Commonwealth University, School of Medicine
Licensed in
VA
In the registry since
2024
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

9881 Broken Land Pkwy Ste 103
Columbia, MD 21046-3013
Phone: (301) 798-4838
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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 2305215805 (VA)

Record details

NPI number1295561090
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedSeptember 10, 2024
Last updated in NPPESSeptember 10, 2024
Certification dateSeptember 10, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolVIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Duke University Health System, Inc — 1082 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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