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

Cody Jefferson Jacks, DPT

Individual provider Physical Therapist · NPI 1669148391

Cody Jefferson Jacks, DPT is a Physical Therapist in Private Practice in Anderson, California. Qualified in 2021, 5 years ago. Practices with Western Physical Therapy Inc, a 36-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2021
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2835 Childress Dr
Anderson, CA 96007-3563
Phone: (530) 378-0098
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1669148391
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 22, 2021
Last updated in NPPESAugust 22, 2021
Certification dateAugust 22, 2021
Mailing address5874 Avery Way, Redding, CA 96003-3095

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Western Physical Therapy Inc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Anderson