Jackalyn Peterson, DPT
NPI 1013241769 · Specialist · Fairfax, VA
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jackalyn Peterson, DPT is a Specialist provider in Fairfax, VA (NPI 1013241769).
Provider details
- NPI number
- 1013241769
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- License
- 2305206191 (VA)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
16 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
764 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Therapy Procedure to Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes97112 | 167 | $30 |
| Therapy Procedure Using Exercise to Develop Strength, Endurance, Range of Motion, and Flexibility, Each 15 Minutes97110 | 160 | $25 |
| Therapy Procedure Using Functional Activities97530 | 154 | $37 |
| Electrical Stimulation (unattended), to One Or More Areas for Indication(s) Other Than Wound Care, As Part of a Therapy Plan of CareG0283 | 137 | $10 |
| Therapy Procedure in a Group Setting97150 | 95 | $15 |
| Therapy Procedure Using Manual Technique, Each 15 Minutes97140 | 51 | $22 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-09-29
- Last updated
- 2016-11-14
Frequently asked questions
- What is Jackalyn Peterson's NPI number?
- Jackalyn Peterson's National Provider Identifier (NPI) is 1013241769, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackalyn Peterson's specialty?
- Jackalyn Peterson is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Jackalyn Peterson located?
- Jackalyn Peterson's practice location on file with NPPES is 9860 Fairfax Blvd, Fairfax, VA 22030-1737.
- What is Jackalyn Peterson's phone number?
- The practice phone number listed in the NPPES registry for Jackalyn Peterson is (703) 383-1616.
- Does Jackalyn Peterson accept Medicare?
- Jackalyn Peterson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jackalyn Peterson's NPI active?
- Yes — Jackalyn Peterson's NPI (1013241769) is active in the NPPES registry as of the last update on 2016-11-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.