Action Jackson Physical Therapy, P.C.
NPI 1255700555 · Physical Therapist · Oakland, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Action Jackson Physical Therapy, P.C. is a Physical Therapist organization in Oakland, CA (NPI 1255700555).
Provider details
- NPI number
- 1255700555
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Shane Jackson, Owner/Physical Therapist(510) 292-5385
- License
- PT23897 (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
11 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
- 2015-09-17
- Last updated
- 2015-09-17
Frequently asked questions
- What is Action Jackson Physical Therapy, P.C.'s NPI number?
- Action Jackson Physical Therapy, P.C.'s National Provider Identifier (NPI) is 1255700555, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Action Jackson Physical Therapy, P.C.?
- Action Jackson Physical Therapy, P.C. is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Action Jackson Physical Therapy, P.C. located?
- Action Jackson Physical Therapy, P.C.'s practice location on file with NPPES is 2844 Summit St, Oakland, CA 94609-3637.
- What is Action Jackson Physical Therapy, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Action Jackson Physical Therapy, P.C. is (510) 763-3005.
- Does Action Jackson Physical Therapy, P.C. accept Medicare?
- Action Jackson Physical Therapy, P.C. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Action Jackson Physical Therapy, P.C.?
- The authorized official listed on Action Jackson Physical Therapy, P.C.'s NPPES record is Shane Jackson, Owner/Physical Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Action Jackson Physical Therapy, P.C.'s NPI active?
- Yes — Action Jackson Physical Therapy, P.C.'s NPI (1255700555) is active in the NPPES registry as of the last update on 2015-09-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.