Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jonathan Patrick Fagan, DPT

Individual provider Physical Therapist · NPI 1366328106

Jonathan Patrick Fagan, DPT is a Physical Therapist in Madison, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2025
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

202 S Park St
Madison, WI 53715-1507
Phone: (608) 417-8050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 17178-24 (WI)

Record details

NPI number1366328106
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedAugust 15, 2025
Last updated in NPPESAugust 15, 2025
Certification dateAugust 15, 2025

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