Active NPI
Lexus Jackson
- Physical Therapy Assistant
- Pleasanton, CA
National Provider Identifier
1932019056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA50282
- Practice address
- 5990 Stoneridge Dr Ste 100
Pleasanton, CA 94588-3234 - Phone
- (510) 936-2614
- NPI assigned
- Sep 10, 2026
- Sex
- Female
- 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 Therapy Assistant | 225200000X | PTA50282 | CA | Primary |
Addresses
Primary practice location
5990 Stoneridge Dr Ste 100
Pleasanton, CA 94588-3234
Mailing address
26437 Underwood Ave
Hayward, CA 94544-3123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1932019056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26437 UNDERWOOD AVE",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945443123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5990 STONERIDGE DR STE 100",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945883234",
"telephone_number": "510-936-2614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "LEXUS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-10",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "PTA50282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.