Jacob Lane Jackson, PT, DPT
NPI 1215777826ActiveIndividual· Physical Therapist· Lafayette, LA
Physical Therapist (PT, DPT) with Elite Therapy Solutions, LLC, practicing in Lafayette, Louisiana. Medicare paid $13,717 for services to 38 patients in 2024.
Overview
| NPI | 1215777826 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | May 30, 2024 |
| Last updated in NPPES | May 30, 2024 |
| Certified by provider | May 30, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 11757 | LA |
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 (LA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 38 |
|---|---|
| Services billed | 688 across 6 procedure codes |
| Paid by Medicare | $13,717 |
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Elite Therapy Solutions, LLCCoatesville, PA · 37 clinicians
Other physical therapists in Lafayette
- 1003666058
- 1013199173
- 1013905843
- 1023792645
- 1033382452
- 1043345747
- 1043676554
- 1053045971
- 1063658896
- 1073604476
- 1093191108
- 1104519669
All 210 physical therapists in Lafayette · All physical therapists in Louisiana