Jackson Davenport, DPT
NPI 1376277905 · Physical Therapist · Munster, IN
Jackson Davenport, DPT is a Physical Therapist provider in Munster, IN (NPI 1376277905).
Provider details
- NPI number
- 1376277905
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 05014727A (IN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
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
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 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 (3)
- 8840 Calumet Ave Ste 103Munster, IN 46321-2546Phone: (219) 703-2416Fax: (219) 703-6778
- 1545 W US Highway 30Schererville, IN 46375-1562Phone: (219) 836-5381Fax: (219) 836-4466
- 1545 W US Highway 30Schererville, IN 46375-1562Phone: (219) 440-5360Fax: (219) 440-5361
Registry dates
- Enumerated
- 2022-07-11
- Last updated
- 2022-09-26
- Certified
- 2022-09-26
Frequently asked questions
- What is Jackson Davenport's NPI number?
- Jackson Davenport's National Provider Identifier (NPI) is 1376277905, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackson Davenport's specialty?
- Jackson Davenport is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jackson Davenport located?
- Jackson Davenport's practice location on file with NPPES is 9950 Calumet Ave, Munster, IN 46321-4028.
- What is Jackson Davenport's phone number?
- The practice phone number listed in the NPPES registry for Jackson Davenport is (219) 934-2840.
- Is Jackson Davenport's NPI active?
- Yes — Jackson Davenport's NPI (1376277905) is active in the NPPES registry as of the last update on 2022-09-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.