Robert Jackson

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH9551 Issued in AL

Practice address

3056 Healthy Way Ste 116
Birmingham, AL 35243-2435

Phone

(205) 783-5270

NPI assigned

Oct 11, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Therapy South LLC - FultondaleGroup PAC ID 1456438514, 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

100

Improvement activities

40

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 and National Provider Directory roles.

• Therapy South LLC - Fultondale

  • Physical Therapist
  • Fultondale, AL
  • NPI 1972787687
  Medicare reassignment Care Compare group NPD
• Therapy South Gardendale LLC

  • Physical Therapist
  • Gardendale, AL
  • NPI 1407569346
  Medicare reassignment NPD
• Therapy South Patchwork Farms LLC

  • Physical Therapist
  • Birmingham, AL
  • NPI 1992231047
  Medicare reassignment NPD
• Therapy South LLC Fultondale

  • Physical Therapist
  • Fultondale, AL
  • NPI 1346424769
  NPD (past)

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1538701487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 GREYSTONE COMMERCIAL BLVD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352422660",
            "telephone_number": "205-745-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3056 HEALTHY WAY STE 116",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352432435",
            "telephone_number": "205-783-5270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-11",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH9551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PTH9551",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Jackson
• Mary Brittany Revell Jackson, OTR/L
• Rasheen Jackson, PHARM.D.
• Rebecca Leigh Jackson, PT
• Rekita Jackson, LPC
• Sarah Jackson, MD
• Scarley C Jackson
• Sean Jackson, NP-C
• Sheena Damita Jackson, NP-C
• Steven Darrell Jackson

• Physical Therapist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.