Deborah Jackson Therapy Associates Inc
NPI 1497015598ActiveOrganization· Physical Therapist· St Augustine, FL
Physical Therapist in St Augustine, Florida, registered in NPPES in May 2012. The authorized official on file is Deborah Jackson, President.
Overview
| NPI | 1497015598 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 22, 2012 |
| Last updated in NPPES | Jun 28, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT11000 | FL |
| Physical Therapist | 225100000X | PT20179 | FL |
| Physical Therapist | 225100000X | PT5569 | FL |
| Physical Therapist | 225100000X | PT7090 | FL |
| Occupational Therapist | 225X00000X | OT9478 | FL |
| Occupational Therapist, Hand | 225XH1200X | OT7576 | FL |
| Speech-Language Pathologist | 235Z00000X | SA299 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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