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

Richard P Jackson

Individual provider Physical Therapist · NPI 1053703215

Richard P Jackson is registered under Physical Therapist in Private Practice in Miami, Florida. Qualified in 2014, 12 years ago. Practices with Pinecrest Performance LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
12
Licensed in
FL
In the registry since
2015
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Practice location Address checks out

9619 S Dixie Hwy
Miami, FL 33156-2804
Phone: (305) 722-0568
Fax: (305) 670-0899
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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 PT30106 (FL)

Record details

NPI number1053703215
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 25, 2015
Last updated in NPPESJuly 25, 2022
Certification dateJuly 25, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Pinecrest Performance Llc — 4 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 patients29
Services billed 686 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

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 Pinecrest Performance LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 4 clinicians in the practice; 1 are shown here.

Other providers in Miami