Joanna Jackson

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

051568-01 Issued in NY

Practice address

800 Hertel Ave Ste 101
Buffalo, NY 14207-1906

Phone

(716) 566-5050

NPI assigned

May 24, 2023

Last updated

Mar 17, 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 NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

People IncGroup PAC ID 3375457765, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• People Inc

  dba Elmwood Health Center, People Inc.

  • Clinic/Center
  • Buffalo, NY
  • NPI 1922073774
  Medicare reassignment Care Compare group NPD
• Medical Practitioner Services of Wny PC

  • Developmental Disabilities Clinic/Center
  • Buffalo, NY
  • NPI 1376129015
  Medicare reassignment NPD
• People Inc

  • Voluntary or Charitable Agency
  • Williamsville, NY
  • NPI 1225383136
  NPD
• People Inc.

  • Clinic/Center
  • Buffalo, NY
  • NPI 1497351787
  NPD

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1659063956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 HERTEL AVE # 101",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142071906",
            "telephone_number": "716-566-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 HERTEL AVE STE 101",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142071906",
            "telephone_number": "716-566-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JOANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-24",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "051568-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desirae Jackson, CDA
• Edward Jackson Jr., LMFT
• Evelyn Anita Jackson, RN
• Iesha Jackson
• Jasmine M Jackson, LPN
• Jordanei Rebecca Jackson
• Kathleen Jackson
• Kelley R Jackson, LPN
• Keyna Jackson
• Kimberly L Jackson, M.D.

• Physical Therapist in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.