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

Jeffrey Jackson

Individual provider Physical Therapist · NPI 1417502212

Jeffrey Jackson is a Physical Therapist in Private Practice in Sand Springs, Oklahoma. Qualified in 2018, 8 years ago. Practices with Redbud Physical Therapy LLC, a 31-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
8
Licensed in
OK
In the registry since
2019
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Practice location Address checks out

200 N Main St Ste C
Sand Springs, OK 74063-7638
Phone: (918) 245-0111
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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 5484 (OK)

Record details

NPI number1417502212
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 8, 2019
Last updated in NPPESDecember 7, 2021
Certification dateDecember 7, 2021
Mailing addressPo Box 721018, Norman, OK 73070-4786

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Redbud Physical Therapy Llc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Sand Springs