Rhandi Jackson
NPI 1407647274ActiveIndividual· Physical Therapist· Estacada, OR
Physical Therapist in Estacada, Oregon, licensed in OR, TX, CA and AZ, with an NPI issued in May 2025. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1407647274 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | May 13, 2025 |
| Last updated in NPPES | May 13, 2025 |
| Certified by provider | May 12, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | CP044280T | OR |
| Physical Therapist | 225100000X | 1346277 | TX |
| Physical Therapist | 225100000X | 307507 | CA |
| Physical Therapist | 225100000X | CP037015T | AZ |
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 (TX) |
|---|
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Other Physical Therapist providers in Estacada
- 1427606144
- 1417908294