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

Jordon Jacklin, DPT

Individual provider Physical Therapist · NPI 1467070730

Jordon Jacklin, DPT is a Physical Therapist in Private Practice in Douglas, Wyoming. Qualified in 2020, 6 years ago. Practices with Professional Therapy and Rehabilitation LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
6
Licensed in
WY
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.

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Practice location Address checks out

111 S 5th St
Douglas, WY 82633-2434
Phone: (307) 358-9464
Fax: (307) 358-9330
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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 1635 (WY)

Record details

NPI number1467070730
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedJuly 13, 2020
Last updated in NPPESJuly 13, 2020
Certification dateJuly 13, 2020
Mailing addressPo Box 1790, Douglas, WY 82633-1790

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 Professional Therapy And Rehabilitation Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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