Jacob Jackson
NPI 1902661838ActiveIndividual· Physical Therapist· Easley, SC
Physical Therapist with Physical Therapy at Dawn LLC, practicing in Easley, South Carolina. Medicare paid $32,216 for services to 94 patients in 2024.
Overview
| NPI | 1902661838 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Feb 20, 2024 |
| Last updated in NPPES | Nov 2, 2026 |
| Certified by provider | Nov 2, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Physical Therapist | 225100000X | PT43269 | FL |
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 (DC); Practitioner - Physical Therapist in Private Practice (IN); Practitioner - Physical Therapist in Private Practice (MD); Practitioner - Physical Therapist in Private Practice (NM); Practitioner - Physical Therapist in Private Practice (SC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 94 |
|---|---|
| Services billed | 1,551 across 11 procedure codes |
| Paid by Medicare | $32,216 |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Physical Therapy at Dawn LLCAlbuquerque, NM · 29 clinicians
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All 50 physical therapists in Easley · All physical therapists in South Carolina