NPI Lens

Jeffrey Jackson

NPI 1417502212ActiveIndividual· Physical Therapist· Sand Springs, OK

Physical Therapist with Redbud Physical Therapy LLC, practicing in Sand Springs, Oklahoma. Medicare paid $59,022 for services to 125 patients in 2024. A record with the same name and state is on the OIG exclusion list; it carries no NPI, so check it before acting.

Overview

NPI1417502212
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedAug 8, 2019
Last updated in NPPESDec 7, 2021
Certified by providerDec 7, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X5484OK

About license numbers in NPPES

Exclusion screening

Possible match: verify before acting. The OIG list has a record with the same name in Oklahoma, but that record carries no NPI, so it may be a different person or business.

Matched byName on OIG listExclusion typeExcluded sinceLocation
Name + stateJeffrey Allan Jackson · Nurse/Nurses Aide1128b4Jan 13, 1991Oklahoma City, OK
ListResultDetails
HHS-OIG LEIE · Oct 9, 2026Possible (name)See above
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 (OK)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients125
Services billed2,894 across 7 procedure codes
Paid by Medicare$59,022

Medicare sources and data years

Education and affiliations

Graduation year2018
Medicare specialtyPhysical Therapist In Private Practice

Medical group

Source: CMS Care Compare

Other Physical Therapist providers in Sand Springs

All Physical Therapist providers in Oklahoma →