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Jacob Jackson, DPT

NPI 1326831801ActiveIndividual· Physical Therapist· Mannington, WV

Physical Therapist (DPT) in Mannington, West Virginia, trained at West Virginia University School of Medicine (class of 2025). Enrolled in Medicare as practitioner - physical therapist in private practice.

Overview

NPI1326831801
StatusActive
Entity typeIndividual
CredentialDPT
Sole proprietorYes
NPI issuedMay 27, 2025
Last updated in NPPESMay 28, 2025
Certified by providerMay 28, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

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

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physical Therapist in Private Practice (WV)

Medicare sources and data years

Education and affiliations

Medical schoolWest Virginia University School of Medicine
Graduation year2025
Medicare specialtyPhysical Therapist In Private Practice

Medical group

Source: CMS Care Compare

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