Jacob McChrystal, DPT, PT
Physical Therapist in Grafton, WI. Individual provider (NPI-1).
NPI number1184335366
StatusActive
Last updated in NPPESAug 29, 2024
Details
- NPI
- 1184335366
- Entity type
- Individual (NPI-1)
- Name
- Jacob McChrystal
- Credential
- DPT, PT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 8, 2022
- Certification date
- Aug 29, 2024
- Last updated
- Aug 29, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 16003-24 | WI | Yes |
Practice location
215 Washington StGrafton, WI 53024-1700
Phone 262-375-3700
Mailing address
Po Box 735044Chicago, IL 60673-5044
Phone 800-326-2250
Other practice locations
5900 S Lake Dr
Cudahy, WI 53110-3171
Cudahy, WI 53110-3171
Phone 414-489-9000
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 43 Physical Therapist providers in Grafton · All 545 providers in Grafton
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