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Sandra Renee Jackson, PT, DPT, CHT

NPI 1740425735ActiveIndividual· Physical Therapist· Manlius, NY

Physical Therapist (PT, DPT, CHT) in Manlius, New York, licensed in NY, with an NPI issued in December 2008.

Overview

NPI1740425735
StatusActive
Entity typeIndividual
CredentialPT, DPT, CHT
Sole proprietorYes
NPI issuedDec 5, 2008
Last updated in NPPESFeb 27, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X025060NY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other physical therapists in Manlius

All 17 physical therapists in Manlius · All physical therapists in New York