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

Jackson Miao, DPT

Individual provider Physical Therapist · NPI 1588261879

Jackson Miao, DPT is a Physical Therapist in Private Practice in Mountain View, California. Qualified in 2020, 6 years ago. Practices with Pinnacle Physical Therapy Inc, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2020
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

1040 N Rengstorff Ave
Mountain View, CA 94043-1750
Phone: (650) 967-5100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1040 N Rengstorff Ave, Mountain View, CA 94043-1750 — (650) 967-5100

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT298428 (CA)

Record details

NPI number1588261879
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedOctober 8, 2020
Last updated in NPPESOctober 8, 2020
Certification dateOctober 8, 2020
Mailing address1824 Vicente St, San Francisco, CA 94116-2922

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Pinnacle Physical Therapy Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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