JACKLYN GODDARD PT
NPI 1205193612
Physical Therapist in Sturgeon Bay, WI
About Jacklyn Goddard Pt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKLYN GODDARD PT (NPI 1205193612) is an individual physical therapist in Sturgeon Bay, Wisconsin, licensed in Wisconsin (11243) and active in the NPI registry since April 2012. She maintains a secondary practice location in Green Bay.
NPPES Registry Identity
Specialties & Licenses
- 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.
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacklyn Goddard Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Jacklyn Goddard reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Green Bay, WI 54311
- Reassigned Medicare billing, Wisconsin enrollment
- 394 clinicians in this Medicare group
Sheboygan, WI 53081
- Reassigned Medicare billing, Wisconsin enrollment
- 4,609 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STURGEON BAY, WI 54235
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 Jacklyn Goddard's NPI number?
The NPI number for Jacklyn Goddard is 1205193612. It was assigned to this individual provider in the NPPES registry on April 23, 2012. The provider is also known as Jacklyn Miller Pt.
Where is Jacklyn Goddard located?
Jacklyn Goddard practices at 1449 Green Bay Rd, Sturgeon Bay, WI 54235. The listed phone number is (920) 746-7200.
What is Jacklyn Goddard's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Jacklyn Goddard enrolled in Medicare?
Yes. Jacklyn Goddard is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jacklyn Goddard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacklyn Goddard reassigns Medicare benefits to 2 organizations: Baycare Aurora, LLC (Green Bay, WI) and Aurora Medical Group, Inc. (Sheboygan, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacklyn Goddard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacklyn Goddard accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Quartz and UnitedHealthcare list Jacklyn Goddard 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 Jacklyn Goddard was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.