John Jackson, PT, DPT, ATC
NPI 1417435967 · Physical Therapist · Bothell, WA
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
John Jackson, PT, DPT, ATC is a Physical Therapist provider in Bothell, WA (NPI 1417435967).
Provider details
- NPI number
- 1417435967
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT, ATC
- Sex
- Male
- Sole proprietor
- No
- License
- 60863261 (WA)
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
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Additional practice locations (2)
- 15 Sw Everett Mall Way Ste GEverett, WA 98204-2715Phone: (425) 355-5222
- 13315 68th Pl NeKirkland, WA 98034-1650Phone: (866) 839-6979
Registry dates
- Enumerated
- 2018-08-06
- Last updated
- 2026-04-23
- Certified
- 2026-04-23
Frequently asked questions
- What is John Jackson's NPI number?
- John Jackson's National Provider Identifier (NPI) is 1417435967, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Jackson's specialty?
- John Jackson is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is John Jackson located?
- John Jackson's practice location on file with NPPES is 18323 98th Ave Ne Ste 1, Bothell, WA 98011-3358.
- What is John Jackson's phone number?
- The practice phone number listed in the NPPES registry for John Jackson is (425) 371-7070.
- Does John Jackson accept Medicare?
- John Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is John Jackson's NPI active?
- Yes — John Jackson's NPI (1417435967) is active in the NPPES registry as of the last update on 2026-04-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.