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Active NPI 1134131055 Individual Practitioner Male Practitioner

Michael Gene Jacketta , MPT, OCS

Physical Therapist • Evanston, WY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Michael Jacketta, MPT, OCS is a certified Physical Therapist practicing in Evanston, WY. With approximately 28 years of clinical experience since completing medical education in 1998, Michael Jacketta delivers high-quality medical care to the local community at 620 WEST CHEYENNE DRIVE.

Michael Jacketta is affiliated with Wyoming Specialized Physical Therapy Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, therapy procedure using manual technique, each, evaluation of physical therapy. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

620 West Cheyenne Drive

Evanston, WY 829305359

Telephone 3077898860
Fax 3077898394
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Evanston, WY

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
28 Yrs +13.2 yrs vs City Avg
City Avg: 14.8 Yrs
State Avg: 18.1 Yrs
Regional Practice Density
12 Specialists

Practicing in Evanston, WY (668 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
59.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jacketta (28 Years) 28 Yrs
Evanston Specialty Average (14.8 Years) 14.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
2,207 45 $68.48 $23.08
97140 Therapy procedure using manual technique, each 15 minutes
431 33 $70.51 $20.31
97161 Evaluation of physical therapy, typically 20 minutes
33 30 $202.84 $96.10

Medical Specialties & State Licenses

Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License WY 840

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: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.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. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
117012100 118279000 (WY)

Hospital & Practice Group Affiliations

Wyoming Specialized Physical Therapy Inc

620 W Cheyenne Dr, Evanston, WY 829305505

Phone: 3077898860

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Devin Orrock , PT, DPT

Physical Therapist

NPI 1497313563

Physical Therapist, Doctor of Physical Therapy

Savannah Jeske

Physical Therapy Assistant

NPI 1932730405

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 620 WEST CHEYENNE DRIVE, EVANSTON, WY 829305359 (Tel: 3077898860)

📍
Updated Business Mailing Address July 08, 2007

Registered at 620 WEST CHEYENNE DRIVE, EVANSTON, WY 829305359 (Tel: 3077898860)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL JACKETTA, MPT, OCS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physical Therapist (License #840 in WY)

🟢
Initial NPI Registration & Enumeration August 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134131055
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 12, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

620 West Cheyenne Drive

Evanston, WY 829305359

Phone: 3077898860

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.