Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brandi L Jackson, DPT

Individual provider Physical Therapist · NPI 1447209630

Brandi L Jackson, DPT is a Physical Therapist in Private Practice in Kansas City, Missouri. Qualified in 2007, 19 years ago. Practices with Optimum Physical Therapy and Performance Center LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Kansas and Missouri.

Years since qualifying
19
Licensed in
KS, MO
In the registry since
2006
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

5501 NW 62nd Ter Ste 102
Kansas City, MO 64151-2412
Phone: (816) 453-4485
Fax: (816) 453-4101
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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 2002030223 (MO)
Physical Therapist Taxonomy 225100000X · Licence 11-03206 (KS)

Record details

NPI number1447209630
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 8, 2006
Last updated in NPPESAugust 24, 2022
Certification dateAugust 24, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Optimum Physical Therapy And Performance Center Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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