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

Jacob Jackson

Individual provider Physical Therapist · NPI 1902661838

Jacob Jackson is registered under Physical Therapist in Private Practice in Easley, South Carolina. Qualified in 2023, 3 years ago. Practices with Physical Therapy at Dawn LLC, a 31-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

838 Powdersville Rd Ste T
Easley, SC 29642-3703
Phone: (864) 671-1650
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (2)

  • 1312 W Arch Haven Ave Ste E, Bloomington, IN 47403-2088 — (812) 336-8406
  • 6842 Race Track Rd Ste B, Bowie, MD 20715-3011 — (240) 544-0200

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Physical Therapist Taxonomy 225100000X · Licence PT43269 (FL)

Record details

NPI number1902661838
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 20, 2024
Last updated in NPPESJuly 10, 2025
Certification dateJuly 10, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Physical Therapy At Dawn Llc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients94
Services billed 1,551 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Physical Therapy at Dawn LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 31 clinicians in the practice; 8 are shown here.

Other providers in Easley