Jacy L. Burgess, PT
NPI 1275792855ActiveIndividual· Physical Therapist· Jamestown, ND
Physical Therapist (PT) in Jamestown, North Dakota, trained at University of North Dakota School of Medicine (class of 1998). Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1275792855 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | Jun 9, 2008 |
| Last updated in NPPES | Jun 9, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 1109 | ND |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MN) |
|---|
Education and affiliations
| Medical school | University of North Dakota School of Medicine |
|---|---|
| Graduation year | 1998 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Pine Peak Therapy LLCFosston, MN · 4 clinicians
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