Action Jackson Physical Therapy, P.C.
NPI 1255700555ActiveOrganization· Physical Therapist· Oakland, CA
Physical Therapist in Oakland, California, registered in NPPES in September 2015. The authorized official on file is Shane Loran Jackson, DPT, Owner/Physical Therapist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1255700555 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 17, 2015 |
| Last updated in NPPES | Sep 17, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT23897 | CA |
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 Part B Supplier - Clinic/Group Practice (CA) |
|---|
Other Physical Therapist providers in Oakland
- 1992383467
- 1689690836
- 1295827723
- 1285587857
- 1780845131
- 1225010283
- 1760100168
- 1699791897
- 1407519895
- 1750443669
- 1710021993
- 1497099451