Jackson David Clouse
NPI 1003478181ActiveIndividual· Physical Therapist· Milan, TN
Physical Therapist in Milan, Tennessee, trained at University of Tennessee, Hsc, College of Medicine (class of 2019). Medicare paid $173,549 for services to 102 patients in 2024.
Overview
| NPI | 1003478181 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jun 28, 2019 |
| Last updated in NPPES | Jun 28, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 12254 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MS); Practitioner - Physical Therapist in Private Practice (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 102 |
|---|---|
| Services billed | 9,808 across 12 procedure codes |
| Paid by Medicare | $173,549 |
Education and affiliations
| Medical school | University of Tennessee, Hsc, College of Medicine |
|---|---|
| Graduation year | 2019 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Dynamix Physical Therapy LLCMilan, TN · 46 clinicians
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