IndividualActive
Jennifer Jackson, MSPT, DPT
NPI 1164591103 · Physical Therapist · San Francisco, CA
Provider details
- NPI number
- 1164591103
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MSPT, DPT
- Sex
- Female
- Sole proprietor
- No
- License
- 33218 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(90/100 index)
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
4200 18th St
Suite 102
San Francisco, CA 94114-2470
Phone: (415) 626-1929
Fax: (415) 626-2607
Street-level locationGet directions
Mailing address
701 Minnesota St Apt 114
San Francisco, CA 94107-3051
Registry dates
- Enumerated
- 2006-11-06
- Last updated
- 2009-04-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.