Jackson Thomas Agosto, PT
NPI 1366278400ActiveIndividual· Physical Therapist· Southport, NC
Physical Therapist (PT) with Benchmark Physical Therapy of North Carolina, LLC and 1 other group, practicing in Southport, North Carolina. Medicare paid $16,832 for services to 54 patients in 2024.
Overview
| NPI | 1366278400 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | Sep 13, 2024 |
| Last updated in NPPES | Sep 13, 2024 |
| Certified by provider | Sep 13, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | P23401 | NC |
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 (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 54 |
|---|---|
| Services billed | 824 across 9 procedure codes |
| Paid by Medicare | $16,832 |
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Benchmark Physical Therapy of North Carolina, LLCGreensboro, NC · 243 clinicians
- Foot and Ankle Associates PLLCHuntersville, NC · 15 clinicians
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