Individual provider Active NPI

Jackelyn Winn, PTA

  • Physical Therapy Assistant
  • Leander, TX
National Provider Identifier
1376450379
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2186379 Issued in TX
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

Updated by the provider on Aug 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.