Nicole Jackson, DPT
NPI 1033972104 · Physical Therapist · Brentwood, MO
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicole Jackson, DPT is a Physical Therapist provider in Brentwood, MO (NPI 1033972104).
Provider details
- NPI number
- 1033972104
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- License
- 2305205164 (VA)
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
2 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
- 2024-02-01
- Last updated
- 2024-02-01
- Certified
- 2024-02-01
Frequently asked questions
- What is Nicole Jackson's NPI number?
- Nicole Jackson's National Provider Identifier (NPI) is 1033972104, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Jackson's specialty?
- Nicole Jackson is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Nicole Jackson located?
- Nicole Jackson's practice location on file with NPPES is 1335 Strassner Dr, Brentwood, MO 63144-1872.
- What is Nicole Jackson's phone number?
- The practice phone number listed in the NPPES registry for Nicole Jackson is (313) 289-0178.
- Does Nicole Jackson accept Medicare?
- Nicole Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nicole Jackson's NPI active?
- Yes — Nicole Jackson's NPI (1033972104) is active in the NPPES registry as of the last update on 2024-02-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.