Active NPI
Jackelyn Winn, PTA
- Physical Therapy Assistant
- Leander, TX
National Provider Identifier
1376450379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2186379
- Practice address
- 15609 Ronald W Reagan Blvd BLDG A130
Leander, TX 78641-1472 - Phone
- (512) 986-4468
- NPI assigned
- Aug 25, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2186379 | TX | Primary |
Addresses
Primary practice location
15609 Ronald W Reagan Blvd BLDG A130
Leander, TX 78641-1472
Mailing address
15609 Ronald W Reagan Blvd BLDG A130
Leander, TX 78641-1472
Phone (512) 986-4468
Other practice location 1
12151 W Parmer Ln # B201
Cedar Park, TX 78613-2170
Phone (512) 986-4468 ext. 2
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1376450379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15609 RONALD W REAGAN BLVD BLDG A130",
"city": "LEANDER",
"state": "TX",
"postal_code": "786411472",
"telephone_number": "512-986-4468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15609 RONALD W REAGAN BLVD BLDG A130",
"city": "LEANDER",
"state": "TX",
"postal_code": "786411472",
"telephone_number": "512-986-4468"
}
],
"practiceLocations": [
{
"address_1": "12151 W Parmer Ln # B201",
"address_purpose": "LOCATION",
"city": "Cedar Park",
"state": "TX",
"postal_code": "786132170",
"country_code": "US",
"telephone_number": "512-986-4468 x2",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WINN",
"first_name": "JACKELYN",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-25",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2186379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leander, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.