Jacklyn Goddard, PT
NPI 1205193612 · Physical Therapist · Sturgeon Bay, WI
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacklyn Goddard, PT is a Physical Therapist provider in Sturgeon Bay, WI (NPI 1205193612).
Provider details
- NPI number
- 1205193612
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- License
- 11243 (WI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1110 Kepler DrGreen Bay, WI 54311-8306Phone: (920) 288-4712
Registry dates
- Enumerated
- 2012-04-23
- Last updated
- 2025-05-19
- Certified
- 2025-05-19
Frequently asked questions
- What is Jacklyn Goddard's NPI number?
- Jacklyn Goddard's National Provider Identifier (NPI) is 1205193612, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacklyn Goddard's specialty?
- Jacklyn Goddard is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jacklyn Goddard located?
- Jacklyn Goddard's practice location on file with NPPES is 1449 Green Bay Rd, Sturgeon Bay, WI 54235-3846.
- What is Jacklyn Goddard's phone number?
- The practice phone number listed in the NPPES registry for Jacklyn Goddard is (920) 746-7200.
- Does Jacklyn Goddard accept Medicare?
- Jacklyn Goddard is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacklyn Goddard's NPI active?
- Yes — Jacklyn Goddard's NPI (1205193612) is active in the NPPES registry as of the last update on 2025-05-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.