Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

NATHANYAL M JACKLITCH MPT
NPI 1093772881
Physical Therapist in Golden Valley, MN

Active since April 27, 2006
3915 GOLDEN VALLEY ROAD, COURAGE CENTER, GOLDEN VALLEY, MN 55422(763) 520-0867(763) 520-0355 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nathanyal M Jacklitch Mpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATHANYAL M JACKLITCH MPT (NPI 1093772881) is an individual physical therapist in Golden Valley, Minnesota, licensed in Minnesota (7056) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1093772881
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameNATHANYAL M JACKLITCHCredential: MPT
Location Address3915 GOLDEN VALLEY ROAD, COURAGE CENTERGolden Valley, MN 55422-4298
Mailing Address3915 Golden Valley Road, Courage CenterGolden Valley, MN 55422-4298 · (763) 520-0867 · Fax (763) 520-0355
Fax(763) 520-0355
Sole ProprietorNo
Enumeration DateApril 27, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1093772881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in MN · 7056
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
3915 GOLDEN VALLEY ROAD, Golden Valley, MN 55422

Other Identifiers 3

Other6403628Medica
Other65G73JAMN · Bcbs
OtherHP43214Healthpartners

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
3915 GOLDEN VALLEY ROAD, COURAGE CENTER
GOLDEN VALLEY, MN 55422
Occupational Therapist
3915 GOLDEN VALLEY ROAD, COURAGE CENTER
GOLDEN VALLEY, MN 55422
Physical Therapist
3915 GOLDEN VALLEY ROAD, COURAGE CENTER
GOLDEN VALLEY, MN 55422
Physical Therapist
3915 GOLDEN VALLEY ROAD, COURAGE CENTER
GOLDEN VALLEY, MN 55422
Social Worker (Clinical)
3915 GOLDEN VALLEY ROAD, COURAGE CENTER
MINNEAPOLIS, MN 55422
Physical Therapy Assistant
3915 GOLDEN VALLEY ROAD, COURAGE CENTER
GOLDEN VALLEY, MN 55422
Occupational Therapist
3915 GOLDEN VALLEY ROAD, COURAGE CENTER
GOLDEN VALLEY, MN 55422
Speech-Language Pathologist
3915 GOLDEN VALLEY ROAD, COURAGE CENTER
GOLDEN VALLEY, MN 55422

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nathanyal Jacklitch's NPI number?

The NPI number for Nathanyal Jacklitch is 1093772881. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is Nathanyal Jacklitch located?

Nathanyal Jacklitch practices at 3915 Golden Valley Road Courage Center, Golden Valley, MN 55422. The listed phone number is (763) 520-0867.

What is Nathanyal Jacklitch's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

What insurance does Nathanyal Jacklitch accept?

Health plans from Medica list Nathanyal Jacklitch as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nathanyal Jacklitch was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.