Active NPI
Cameron Jackson, DPT
- Physical Therapist
- Baldwin City, KS
National Provider Identifier
1700509247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11-06988
- Practice address
- 603 Ames St
Baldwin City, KS 66006-5200 - Phone
- (785) 594-4894
- Fax
- (785) 594-2597
- NPI assigned
- Sep 20, 2022
- Last updated
- Sep 24, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11-06988 | KS | Primary |
Addresses
Primary practice location
603 Ames St
Baldwin City, KS 66006-5200
Mailing address
603 Ames St
Baldwin City, KS 66006-5200
Phone (785) 594-4894
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
603 Ames St
Baldwin City, KS 66006-5200
Phone (785) 594-4894
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11-06988 | KS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rodrock Chiropractic, P.a. | Physical Therapist | Current | Accepting new patients |
| Mdcha Inc | Physical Therapist | Current | Accepting new patients |
Locations
603 Ames St
Baldwin City, KS 66006
Phone (785) 434-9399
1440 Wakarusa Dr
Ste 400
Lawrence, KS 66049
Phone (785) 764-1775
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758672000000",
"number": "1700509247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 AMES ST",
"city": "BALDWIN CITY",
"state": "KS",
"postal_code": "660065200",
"telephone_number": "785-594-4894",
"fax_number": "786-594-2597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 AMES ST",
"city": "BALDWIN CITY",
"state": "KS",
"postal_code": "660065200",
"telephone_number": "785-594-4894",
"fax_number": "785-594-2597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "CAMERON",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-20",
"last_updated": "2025-09-24",
"certification_date": "2025-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-06988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baldwin City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.