Richard P. Jackson
NPI 1053703215ActiveIndividual· Physical Therapist· Miami, FL
Physical Therapist with Pinecrest Performance LLC, practicing in Miami, Florida. Medicare paid $14,272 for services to 29 patients in 2024.
Overview
| NPI | 1053703215 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Feb 25, 2015 |
| Last updated in NPPES | Jul 25, 2022 |
| Certified by provider | Jul 25, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT30106 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 29 |
|---|---|
| Services billed | 686 across 5 procedure codes |
| Paid by Medicare | $14,272 |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Pinecrest Performance LLCMiami, FL · 3 clinicians
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