DR. JACKSON THOMAS PRUETT PT, DPT
NPI 1013532498
Physical Therapist in Fayetteville, NC
About Dr. Jackson Thomas Pruett Pt, Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACKSON THOMAS PRUETT PT, DPT (NPI 1013532498) is an individual physical therapist in Fayetteville, North Carolina, licensed in North Carolina (P19589) and active in the NPI registry since June 2020. He maintains a secondary practice location in Rock Hill and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- 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.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jackson Thomas Pruett Pt, Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Jackson Pruett reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Leland, NC 28451
- Reassigned Medicare billing, North Carolina enrollment
- Medicare enrollment name: Benchmark Physical Therapy Of North Carolina, LLC
- 483 clinicians in this Medicare group
North Myrtle Beach, SC 29582
- Reassigned Medicare billing, South Carolina enrollment
- Medicare enrollment name: Benchmark Healthcare Services LLC
- 363 clinicians in this Medicare group
Camden, SC 29020
- Reassigned Medicare billing, South Carolina enrollment
- 297 clinicians in this Medicare group
Hixson, TN 37343
- Reassigned Medicare billing, South Carolina enrollment
- 267 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAYETTEVILLE, NC 28303
FAYETTEVILLE, NC 28303
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jackson Pruett's NPI number?
The NPI number for Jackson Pruett is 1013532498. It was assigned to this individual provider in the NPPES registry on June 11, 2020.
Where is Jackson Pruett located?
Jackson Pruett practices at 5860 Yadkin Rd, Fayetteville, NC 28303. The listed phone number is (910) 491-5164.
What is Jackson Pruett's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Jackson Pruett enrolled in Medicare?
Yes. Jackson Pruett is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jackson Pruett's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jackson Pruett reassigns Medicare benefits to 4 organizations: Benchmark Physical Therapy Of Nc, LLC (Leland, NC), Benchmark Health Services, LLC (North Myrtle Beach, SC), Drayer Physical Therapy - South Carolina, LLC (Camden, SC) and Agilitas Usa Inc (Hixson, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jackson Pruett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jackson Pruett accept?
Health plans from Blue Cross and Blue Shield of NC list Jackson Pruett as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jackson Pruett was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.