Charles Edward Mack Jr., DPT, PT
NPI 1376068866ActiveIndividual· Physical Therapist· Aldie, VA
Physical Therapist (DPT, PT) with Jackson Clinics Limited Partnership and 1 other group, practicing in Aldie, Virginia. Medicare paid $49,343 for services to 33 patients in 2024.
Overview
| NPI | 1376068866 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT, PT |
| Sole proprietor | No |
| NPI issued | Aug 7, 2017 |
| Last updated in NPPES | May 11, 2026 |
| Certified by provider | May 11, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 2305211409 | VA |
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 (DC); Practitioner - Physical Therapist in Private Practice (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 33 |
|---|---|
| Services billed | 2,621 across 8 procedure codes |
| Paid by Medicare | $49,343 |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Jackson Clinics Limited PartnershipLeesburg, VA · 124 clinicians
- Nova Rehabilitation IncLansdowne, VA · 2 clinicians
Other physical therapists in Aldie
- 1083462667
- 1164173100
- 1184313074
- 1356110878
- 1780149203
- 1841459807
- 1891454088
- 1982967642
- 1013251420
- 1326363730
- 1457155392
- 1598494593
All 17 physical therapists in Aldie · All physical therapists in Virginia