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Jill Jackson

NPI 1053132225ActiveIndividual· Physical Therapist· Wellsboro, PA

Physical Therapist in Wellsboro, Pennsylvania, with an NPI issued in October 2024.

Overview

NPI1053132225
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedOct 21, 2024
Last updated in NPPESOct 21, 2024
Certified by providerOct 21, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other physical therapists in Wellsboro

All 16 physical therapists in Wellsboro · All physical therapists in Pennsylvania