Jackson Thomas Pruett, PT, DPT
NPI 1013532498ActiveIndividual· Physical Therapist· Fayetteville, NC
Physical Therapist (PT, DPT) with Benchmark Physical Therapy of North Carolina, LLC and 1 other group, practicing in Fayetteville, North Carolina. Medicare paid $14,195 for services to 36 patients in 2024.
Overview
| NPI | 1013532498 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Jun 11, 2020 |
| Last updated in NPPES | Feb 4, 2026 |
| Certified by provider | Feb 4, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | P19589 | NC |
| Physical Therapist | 225100000X | 10968 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (NC); Practitioner - Physical Therapist in Private Practice (SC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 36 |
|---|---|
| Services billed | 709 across 7 procedure codes |
| Paid by Medicare | $14,195 |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Benchmark Physical Therapy of North Carolina, LLCGreensboro, NC · 243 clinicians
- Benchmark Healthcare Services LLCHanahan, SC · 137 clinicians
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All 295 physical therapists in Fayetteville · All physical therapists in North Carolina