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

Shane Loran Jackson, DPT

Individual provider Physical Therapist · NPI 1548567571

Shane Loran Jackson, DPT is registered under Physical Therapist in Private Practice in Oakland, California. Graduated from University of California, San Francisco School of Medicine in 1998, 28 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
28
Trained at
University of California, San Francisco School of Medicine
Licensed in
CA
In the registry since
2011
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

2844 Summit St Ste 106
Oakland, CA 94609-3641 Not confirmed with CMS for 10 years — call before visiting
Phone: (510) 788-4535
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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 23897 (CA)

Record details

NPI number1548567571
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedFebruary 28, 2011
Last updated in NPPESFebruary 15, 2016

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduated 1998 (28 years in practice)
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 patients46
Services billed 1,349 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.

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