JACKY DEAN JONES (PT, DPT) – Physical Therapist, NPI 1518785435

JACKY DEAN JONES (PT, DPT) is a healthcare provider. based in Seattle, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. PT61559081 (WA). The NPI Number for JACKY DEAN JONES (PT, DPT) is 1518785435

Main info

Male
Sole Proprietor
2 Years Of Experience
Name
JACKY DEAN JONES (PT, DPT)
NPI
1518785435
Phone
(360) 328-6689
Address
5611 40TH AVE NE
Enumeration Date
30 September 2024
Last Update Date
30 September 2024

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
2064661918
Graduation Year
2024 (2 years ago)
PAC ID
1557884012
Group Practice PAC ID
4880950674
Professional Enrollment ID
I20250402003392
Address ID
WA981042026SE1124XSTXX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

Provider Addresses for JACKY DEAN JONES (PT, DPT)

  • 5611 40TH AVE NE

    SEATTLE, WA 981052216

    Phone: (360) 328-6689

    Type: Mailing

  • 926 N 165TH ST

    SHORELINE, WA 981335304

    Phone: (360) 328-6689

    Type: Location

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: 2025-04-02

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
I20250402003392IPhysical Therapist In Private PracticeWATBD

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 98105)

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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: 4880950674View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeID
-WA
Physical Therapist In Private PracticeWA
-WA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA

Reviews

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Frequently asked questions

Can I verify JACKY DEAN JONES (PT, DPT) with an NPI only?
You can start verification with NPI 1518785435 for JACKY DEAN JONES (PT, DPT), then check state licensing separately.
Does the file indicate JACKY DEAN JONES (PT, DPT) is practicing under active NPI?
Directory data currently reports JACKY DEAN JONES (PT, DPT) as active.
What taxonomy line describes JACKY DEAN JONES (PT, DPT)?
For research purposes, treat JACKY DEAN JONES (PT, DPT) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Where is JACKY DEAN JONES (PT, DPT) based?
JACKY DEAN JONES (PT, DPT) is tied to Seattle, Washington in the data we show; additional addresses may exist on the full record.
Is the information about JACKY DEAN JONES (PT, DPT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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