Russell Jackson, DPT
NPI 1902225519ActiveIndividual· Physical Therapist· Payson, UT
Physical Therapist (DPT) in Payson, Utah, licensed in UT, with an NPI issued in April 2014.
Overview
| NPI | 1902225519 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | Apr 10, 2014 |
| Last updated in NPPES | Apr 10, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 88900572401 | UT |
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 |
|---|
Other Physical Therapist providers in Payson
- 1124941596
- 1407778673
- 1902020472
- 1265463012
- 1932523792
- 1942669833
- 1245285451
- 1174446504
- 1831711480
- 1356566020