Samuel Jackson, DPT
NPI 1811511199 · Physical Therapist · Greenville, SC
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Samuel Jackson, DPT is a Physical Therapist provider in Greenville, SC (NPI 1811511199).
Provider details
- NPI number
- 1811511199
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- License
- 10222 (SC)
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 tenure28% of score
6 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,486 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Therapy Procedure Using Functional Activities97530 | 358 | $31 |
| Therapy Procedure to Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes97112 | 353 | $25 |
| Therapy Procedure Using Exercise to Develop Strength, Endurance, Range of Motion, and Flexibility, Each 15 Minutes97110 | 307 | $21 |
| Therapy Procedure Using Manual Technique, Each 15 Minutes97140 | 269 | $20 |
| Electrical Stimulation (unattended), to One Or More Areas for Indication(s) Other Than Wound Care, As Part of a Therapy Plan of CareG0283 | 93 | $8 |
| Training for Self-Care Or Home Management, Each 15 Minutes97535 | 68 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-06-03
- Last updated
- 2026-06-02
- Certified
- 2026-06-02
Frequently asked questions
- What is Samuel Jackson's NPI number?
- Samuel Jackson's National Provider Identifier (NPI) is 1811511199, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samuel Jackson's specialty?
- Samuel Jackson is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Samuel Jackson located?
- Samuel Jackson's practice location on file with NPPES is 104 Mauldin Rd Ste B, Greenville, SC 29605-1221.
- What is Samuel Jackson's phone number?
- The practice phone number listed in the NPPES registry for Samuel Jackson is (864) 214-6680.
- Does Samuel Jackson accept Medicare?
- Samuel Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Samuel Jackson's NPI active?
- Yes — Samuel Jackson's NPI (1811511199) is active in the NPPES registry as of the last update on 2026-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.