Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336107408 Individual Practitioner Female Practitioner

Dr. Deborah A Jackson , PhD, PT, OCS, CMP, ATC

Physical Therapist • St Augustine, FL

Professional Overview & Biography Verified Profile Summary

Dr. Deborah Jackson, PhD, PT, OCS, CMP, ATC is a registered healthcare professional specializing in Physical Therapist in St Augustine, FL. Practice services are available at 319 W TOWN PL under active NPI credentials.

Frequently performed procedures and clinical services include therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, therapy procedure using manual technique, each, therapy procedure using water pool to exercises, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

319 W Town Pl
Suite 5

St Augustine, FL 320923101

Telephone 9043425262
Fax 9042173580
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in St Augustine, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.4 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
144 Specialists

Practicing in St Augustine, FL (14601 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
26.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
45 16 $35.00 $27.72
97140 Therapy procedure using manual technique, each 15 minutes
33 16 $33.00 $22.06

Medical Specialties & State Licenses

Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License FL PT11000

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare
GE918Z
Commercial Insurance / Payer ID Bcbs
Y5614

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
NPI 1053877324

Physical Therapist, Doctor of Physical Therapy

Nathan Jimmerson , PTA

Physical Therapy Assistant

NPI 1144766049

Physical Therapist Assistant

Lindsey Augustine

Physical Therapist

NPI 1184146060
NPI 1245377761

Physical Therapist, Doctor of Physical Therapy

Ryan Tsai

Physical Therapist

NPI 1407245210
Dr. Ellen Bass , DPT

Physical Therapist

NPI 1518206580

Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 19, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location October 19, 2012

Registered at 319 W TOWN PL, SUITE 5, ST AUGUSTINE, FL 320923101 (Tel: 9043425262)

📍
Updated Business Mailing Address October 19, 2012

Registered at 319 W TOWN PL, SUITE 5, ST AUGUSTINE, FL 320923101 (Tel: 9043425262)

👤
Provider Name / Credentials Updated October 19, 2012

Recorded as DEBORAH JACKSON, PHD,PT, OCS,CMP, ATC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2012

Physical Therapist (License #PT11000 in FL)

🟢
Initial NPI Registration & Enumeration May 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336107408
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 01, 2006
Last Update: October 19, 2012
Sole Proprietor: Yes

Mailing Address

319 W Town Pl, Suite 5

St Augustine, FL 320923101

Phone: 9043425262

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.