MRS. JACQUELINE RENEE WINDLE (PT) – Physical Therapist, NPI 1720411499

MRS. JACQUELINE RENEE WINDLE (PT) is a healthcare provider. based in Plano, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 1234840 (TX). The NPI Number for MRS. JACQUELINE RENEE WINDLE (PT) is 1720411499

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JACQUELINE RENEE WINDLE (PT)
NPI
1720411499
Phone
(972) 985-1776
Address
4621 W PARK BLVD
Enumeration Date
16 August 2013
Last Update Date
16 August 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8173413600
Graduation Year
2013 (13 years ago)
PAC ID
0749701571
Group Practice PAC ID
8123295706
Professional Enrollment ID
I20250310000274
Address ID
TX760865653WE141XXDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

5,355 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

Provider Addresses for MRS. JACQUELINE RENEE WINDLE (PT)

  • 4621 W PARK BLVD

    STE 102

    PLANO, TX 750932318

    Phone: (972) 985-1776

    Fax: (972) 985-6088

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-03-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250310000274IPhysical Therapist In Private PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75093)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123295706View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeUT
Occupational Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Occupational Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX

Reviews

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Frequently asked questions

How is MRS. JACQUELINE RENEE WINDLE (PT) identified in CMS data?
CMS-hosted NPPES data lists MRS. JACQUELINE RENEE WINDLE (PT) with NPI 1720411499.
Does the file indicate MRS. JACQUELINE RENEE WINDLE (PT) is practicing under active NPI?
Directory data currently reports MRS. JACQUELINE RENEE WINDLE (PT) as active.
What is MRS. JACQUELINE RENEE WINDLE (PT)'s specialty?
The listing groups MRS. JACQUELINE RENEE WINDLE (PT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What area does MRS. JACQUELINE RENEE WINDLE (PT) serve?
MRS. JACQUELINE RENEE WINDLE (PT)'s listing highlights Plano, Texas; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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