Jeremy Jackson
NPI 1023177516 · Physical Therapist · Vallejo, CA
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jeremy Jackson is a Physical Therapist provider in Vallejo, CA (NPI 1023177516).
Provider details
- NPI number
- 1023177516
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- PT32203 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-12-08
- Last updated
- 2021-12-30
Frequently asked questions
- What is Jeremy Jackson's NPI number?
- Jeremy Jackson's National Provider Identifier (NPI) is 1023177516, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeremy Jackson's specialty?
- Jeremy Jackson is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jeremy Jackson located?
- Jeremy Jackson's practice location on file with NPPES is 975 Sereno Dr, Vallejo, CA 94589-2441.
- What is Jeremy Jackson's phone number?
- The practice phone number listed in the NPPES registry for Jeremy Jackson is (707) 651-4863.
- Does Jeremy Jackson accept Medicare?
- Jeremy Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jeremy Jackson's NPI active?
- Yes — Jeremy Jackson's NPI (1023177516) is active in the NPPES registry as of the last update on 2021-12-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.