Leo Jackson III, PT
NPI 1588429161ActiveIndividual· Physical Therapist· Atlanta, GA
Physical Therapist (PT) with Team Rehabilitation Services LLC and 2 other groups, practicing in Atlanta, Georgia. Medicare paid $10,888 for services to 15 patients in 2024.
Overview
| NPI | 1588429161 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | Feb 14, 2024 |
| Last updated in NPPES | Aug 21, 2026 |
| Certified by provider | Aug 21, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT017004 | GA |
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 (GA); Practitioner - Physical Therapist in Private Practice (MO); Practitioner - Physical Therapist in Private Practice (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 15 |
|---|---|
| Services billed | 542 across 11 procedure codes |
| Paid by Medicare | $10,888 |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Team Rehabilitation Services LLCAtlanta, GA · 575 clinicians
- Sportherapy LLCFort Worth, TX · 46 clinicians
- Human Performance and Rehabilitation Centers LLCStockbridge, GA · 35 clinicians
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All 888 physical therapists in Atlanta · All physical therapists in Georgia