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

Jason Ackley, PT

Individual provider Physical Therapist · NPI 1912385543

Jason Ackley, PT is a Physical Therapist in Private Practice in South Portland, Maine. Qualified in 2008, 18 years ago. Practices with Intermed PA, a 185-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
18
Licensed in
ME
In the registry since
2015
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

50 Foden Rd
South Portland, ME 04106-1718
Phone: (207) 780-8860
Fax: (207) 523-8584
Show map & directions

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

Additional practice locations (1)

  • 259 Main St, Yarmouth, ME 04096-4703 — (207) 780-8860

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT3452 (ME)

Record details

NPI number1912385543
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 15, 2015
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026
Mailing address100 Gannett Dr Ste C, South Portland, ME 04106-5900

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Intermed Pa — 185 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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