Jasmine Gabrielle Jackson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

26346 Issued in MD

Practice address

4321 Hartwick Rd Ste 101
College Park, MD 20740-3201

Phone

(301) 277-6616

Fax

(301) 277-6618

NPI assigned

Feb 10, 2017

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

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

87.43 of 100Reported as group

Quality

85

Promoting interoperability

99

Improvement activities

40

Cost

73.92

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Process Physical Therapy and Performance

  • Physical Therapy Clinic/Center
  • Brentwood, MD
  • NPI 1487245304
  NPD Authorized official
• Process Physical Therapy and Performance LLC

  • Physical Therapist
  • Alexandria, VA
  • NPI 1710556642
  NPD Authorized official

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

{
    "created_epoch": "1486684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1154869048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NEW FIDELITY CT",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292665",
            "telephone_number": "410-927-8768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 HARTWICK RD STE 101",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207403201",
            "telephone_number": "301-277-6616",
            "fax_number": "301-277-6618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4367 Northview Dr",
            "address_purpose": "LOCATION",
            "city": "Bowie",
            "state": "MD",
            "postal_code": "207162603",
            "country_code": "US",
            "telephone_number": "301-464-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JASMINE",
        "middle_name": "GABRIELLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-10",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "26346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ideeal Home Healthcare Services LC
• Ngozi Henrietta Ikoro
• Insight Treatment Services
• Institute for Life Enrichment
• Peace Lisa Chidima Iwuala
• Donna Francis Jacobs, NP
• Penny Lynn Jacobs, CRNP
• Jill Berger Jacobson
• Abiodun Elizabeth Jaiyeola
• Isatu Jalloh

• Physical Therapist in College Park, MD
• Providers in College Park, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.