Monica Jackson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

295299 Issued in CA

Practice address

565 Brunswick Rd Ste 4
Grass Valley, CA 95945-9529

Phone

(530) 273-4152

Fax

(530) 273-4153

NPI assigned

Aug 24, 2018

Last updated

Feb 5, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Auburn Orthopedic and Sports PhysicalGroup PAC ID 9234381583, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Auburn Orthopedic & Sports Physical

  • Physical Therapist
  • Auburn, CA
  • NPI 1316291503
  Medicare reassignment Care Compare group NPD
• New Edge Physical Therapy Inc

  dba Wildwood Physical Therapy Inc

  • Physical Therapist
  • Penn Valley, CA
  • NPI 1477196111
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1043791353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11879 KEMPER RD STE 4",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956039021",
            "telephone_number": "530-885-3940",
            "fax_number": "530-885-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 BRUNSWICK RD STE 4",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959459529",
            "telephone_number": "530-273-4152",
            "fax_number": "530-273-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "MONICA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-24",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "295299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Ito, L.AC.
• Kim Iverson-Lee, PT
• Ivey Physical Therapy a Professional Corporation (Sanderson Ivey Physical Therapy)
• Kevin Dale Ivey, P.T.
• John Calvin Jackson IV, MD
• Laura Jaco
• Jole Marie Jacobs, RN
• Ann Jacobson
• Jacquelyn Crane Jacona
• Lindsay Jacquier

• Physical Therapist in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.