Jackson William Peckenpaugh, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT.PT.70132648 Issued in WA

Practice address

161 Lincoln Ave Ste 120
Snohomish, WA 98290-3053

Phone

(360) 822-9068

NPI assigned

Jun 15, 2026

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1781481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1932034683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8209 144TH DR SE",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982909079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 LINCOLN AVE STE 120",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982903053",
            "telephone_number": "360-822-9068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECKENPAUGH",
        "first_name": "JACKSON",
        "middle_name": "WILLIAM",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-06-15",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT.PT.70132648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul J. Lund DDS PLLC
• Joelle L Paul, LMHC
• Arianna Jean Paulino
• Laura A Paulsen, ARNP
• Benjie Russell Pease, MOT OTR/L
• Tiffany Pedersen
• Amy A Peerson
• Nita Louise Perrine, LMP
• Stormie Person, RPH
• Brittany Peterson, MT-BC

• Physical Therapist in Snohomish, WA
• Providers in Snohomish, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.