Individual provider Active NPI

Jackson Dang, DPT, PT

  • Physical Therapist
  • Cary, NC
National Provider Identifier
1891553764
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P21575 Issued in NC
Practice address
1000 Crescent GRN Ste 102
Cary, NC 27518-8117
Phone
(919) 897-5999
Fax
(919) 897-5980
NPI assigned
Mar 6, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P21575 NC Primary

Addresses

Primary practice location

1000 Crescent GRN Ste 102
Cary, NC 27518-8117

Mailing address

1000 Crescent GRN Ste 102
Cary, NC 27518-8117
Phone (919) 897-5999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250514001603 NC Practitioner - Physical Therapist in Private Practice 8527586577 Reassigns benefits to 2 organizations

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
Amputation Prevention Center of North Carolina LLCGroup PAC ID 4486083664, 18 clinicians

Practice addresses (Care Compare)

1000 Crescent GRN
Suite 102
Cary, NC 27518-8117
Phone (919) 897-5999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P21575NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rao Clinic PLLC Physical Therapist CurrentSince Apr 1, 2025 Accepting new patients
Activcare Physical Therapy, LLC Physical Therapist CurrentSince Mar 12, 2024 Accepting new patients
Aegis Medical Center PLLC CurrentSince Apr 25, 2025 Accepting new patients
North Carolina Surgery Center LLC Past Accepting new patients
Performax Physical Therapy and Sports Rehabilitation, LLC PastSince Mar 12, 2024 Accepting new patients

Locations

3001 Palm Harbor Blvd
Ste A
Palm Harbor, FL 34683

1700 Kildaire Farm Rd
Ste 130
Cary, NC 27511

1000 Crescent Green
Ste 102
Cary, NC 27518
Phone (919) 233-0410

6015 Farrington Rd
Ste 101A
Chapel Hill, NC 27517
Phone (919) 251-9378

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1891553764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CRESCENT GRN STE 102",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188117",
            "telephone_number": "919-897-5999",
            "fax_number": "919-897-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CRESCENT GRN STE 102",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188117",
            "telephone_number": "919-897-5999",
            "fax_number": "919-897-5980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANG",
        "first_name": "JACKSON",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-06",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P21575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.

Verify at the official NPI Registry.