Charlene J. Jackson, PT
NPI 1417073552ActiveIndividual· Physical Therapist· Ashtabula, OH
Physical Therapist (PT) in Ashtabula, Ohio, trained at Ohio State University College of Medicine (class of 1972). Medicare paid $6,517 for services to 47 patients in 2024.
Overview
| NPI | 1417073552 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | Mar 21, 2007 |
| Last updated in NPPES | Aug 15, 2024 |
| Certified by provider | Aug 15, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT01263 | OH |
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 (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 47 |
|---|---|
| Services billed | 323 across 7 procedure codes |
| Paid by Medicare | $6,517 |
Education and affiliations
| Medical school | Ohio State University College of Medicine |
|---|---|
| Graduation year | 1972 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Seeds Orthopaedics, Inc.Ashtabula, OH · 6 clinicians
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All 32 physical therapists in Ashtabula · All physical therapists in Ohio