Individual provider Active NPI

Jaclyn C Machado, PT, DPT

  • Physical Therapist
  • Omaha, NE
National Provider Identifier
1952089955
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4485 Issued in NE
Practice address
Creighton Therapy and Wellness
17055 Frances Street, Suite 100
Omaha, NE 68130-4655
Phone
(402) 280-3555
Fax
(402) 280-3557
NPI assigned
Jul 10, 2023
Last updated
Sep 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4485 NE Primary

Addresses

Primary practice location

Creighton Therapy and Wellness
17055 Frances Street, Suite 100
Omaha, NE 68130-4655

Mailing address

17055 Frances Street
Suite 100
Omaha, NE 68130-4655
Phone (402) 280-3555

Other names 1

  • Jaclyn Taylor Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241121001688 NE Practitioner - Physical Therapist in Private Practice 0749715209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Creighton UniversityGroup PAC ID 4284527508, 11 clinicians

Practice addresses (Care Compare)

17055 Frances St
Suite 100
Omaha, NE 68130-4655
Phone (402) 280-3555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4485NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Creighton University Physical Therapist CurrentSince Nov 8, 2024 Accepting new patients
Creighton University Past Accepting new patients

Locations

17055 Frances St
Ste 100
Omaha, NE 68130
Phone (402) 280-3555

3006 Webster St
Omaha, NE 68131
Phone (402) 280-3555

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1952089955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17055 FRANCES STREET",
            "address_2": "SUITE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681304655",
            "telephone_number": "402-280-3555",
            "fax_number": "402-280-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CREIGHTON THERAPY AND WELLNESS",
            "address_2": "17055 FRANCES STREET, SUITE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681304655",
            "telephone_number": "402-280-3555",
            "fax_number": "402-280-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHADO",
        "first_name": "JACLYN",
        "middle_name": "C",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2026-09-24",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "4485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACLYN",
            "last_name": "TAYLOR",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.