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

Jordan Vandyck, DPT

Individual provider Physical Therapist · NPI 1871199471

Jordan Vandyck, DPT is a Physical Therapist in Private Practice in Hales Corners, Wisconsin. Qualified in 2020, 6 years ago. Practices with Aretas02 LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
6
Licensed in
WI
In the registry since
2020
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

5764 S 108th St
Hales Corners, WI 53130-1947
Phone: (414) 400-7110
Fax: (414) 400-7112
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 15231-24 (WI)

Record details

NPI number1871199471
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedDecember 9, 2020
Last updated in NPPESMay 6, 2024
Certification dateMay 6, 2024
Mailing address5764 S 108th St, Hales Corners, WI 53130-1947

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Aretas02 Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Hales Corners