Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Action Jackson Physical Therapy, PC

Organization Physical Therapist · NPI 1255700555

Action Jackson Physical Therapy, PC provides Physical Therapist services in Oakland, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2844 Summit St Ste 106
Oakland, CA 94609-3637 Not confirmed with CMS for 11 years — call before visiting
Phone: (510) 763-3005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT23897 (CA)

Record details

NPI number1255700555
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shane Jackson — Owner/Physical Therapist · (510) 292-5385
NPI enumeratedSeptember 17, 2015
Last updated in NPPESSeptember 17, 2015
Mailing address1005 Solano Ave, Apt. A, Albany, CA 94706-1617

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