Jacob Jackson
NPI 1902661838 · Physical Therapist · Easley, SC
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacob Jackson is a Physical Therapist provider in Easley, SC (NPI 1902661838).
Provider details
- NPI number
- 1902661838
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
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
2 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
1,510 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 | 577 | $31 |
| Therapy Procedure Using Exercise to Develop Strength, Endurance, Range of Motion, and Flexibility, Each 15 Minutes97110 | 392 | $22 |
| Therapy Procedure to Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes97112 | 281 | $25 |
| Therapy Procedure Using Manual Technique, Each 15 Minutes97140 | 194 | $20 |
| Therapy Procedure in a Group Setting97150 | 66 | $13 |
Typical Medicare-allowed amounts for these services range $13–$31 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (2)
- 1312 W Arch Haven Ave Ste EBloomington, IN 47403-2088Phone: (812) 336-8406Fax: (812) 336-8342
- 6842 Race Track Rd Ste BBowie, MD 20715-3011Phone: (240) 544-0200
Registry dates
- Enumerated
- 2024-02-20
- Last updated
- 2025-07-10
- Certified
- 2025-07-10
Frequently asked questions
- What is Jacob Jackson's NPI number?
- Jacob Jackson's National Provider Identifier (NPI) is 1902661838, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Jackson's specialty?
- Jacob Jackson is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jacob Jackson located?
- Jacob Jackson's practice location on file with NPPES is 838 Powdersville Rd Ste T, Easley, SC 29642-3703.
- What is Jacob Jackson's phone number?
- The practice phone number listed in the NPPES registry for Jacob Jackson is (864) 671-1650.
- Does Jacob Jackson accept Medicare?
- Jacob Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacob Jackson's NPI active?
- Yes — Jacob Jackson's NPI (1902661838) is active in the NPPES registry as of the last update on 2025-07-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.