JAYNON JACKSON
NPI 1073442067
Physical Therapist in Live Oak, TX

Active since May 15, 2026Accepts Medicare Assignment
12500 JUDSON RD STE 201, LIVE OAK, TX 78233(210) 314-1071(210) 314-1802 Get Directions Write a Review

NPPES record last updated: May 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jaynon Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAYNON JACKSON (NPI 1073442067) is an individual physical therapist in Live Oak, Texas, licensed in Texas (1408268) and active in the NPI registry since May 2026. He is a graduate of Other (2025).

NPPES Registry Identity

NPI1073442067
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameJAYNON JACKSON
Location Address12500 JUDSON RD STE 201Live Oak, TX 78233-4146
Mailing Address1650 Lyndon Farm Ct Ste 300Louisville, KY 40223-5005 · (726) 202-3039 · Fax (210) 978-5592
Fax(210) 314-1802
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 15, 2026
NPPES CertifiedMay 15, 2026
✔ NPI 1073442067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in TX · 1408268
Definition
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:
  • 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.
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.
12500 JUDSON RD STE 201, Live Oak, TX 78233

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jaynon Jackson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517439128
PECOS Enrollment IDI20260615004049

Medicare Billing Reassignments

2

Medicare enrollment records show Jaynon Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sports Medicine
21 SPURS LN, STE 300
San Antonio, TX 78240
  • Reassigned Medicare billing, Texas enrollment
  • 94 clinicians in this Medicare group
Physical Therapist
1324 COMMON ST, SUITE 307
New Braunfels, TX 78130
  • Reassigned Medicare billing, Texas enrollment
  • 357 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78233 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
12500 JUDSON RD STE 201
LIVE OAK, TX 78233
Orthopaedic Surgery (Sports Medicine)
12500 JUDSON RD STE 201
LIVE OAK, TX 78233

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 Jaynon Jackson's NPI number?

The NPI number for Jaynon Jackson is 1073442067. It was assigned to this individual provider in the NPPES registry on May 15, 2026.

Where is Jaynon Jackson located?

Jaynon Jackson practices at 12500 Judson Rd Ste 201, Live Oak, TX 78233. The listed phone number is (210) 314-1071.

What is Jaynon Jackson's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Jaynon Jackson enrolled in Medicare?

Yes. Jaynon Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jaynon Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jaynon Jackson reassigns Medicare benefits to 2 organizations: Sports Medicine Associates Of San Antonio, PA (San Antonio, TX) and Texas Physical Therapy Specialists, Inc. (New Braunfels, TX). 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 Jaynon Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jaynon Jackson accept?

Health plans from Blue Cross and Blue Shield of Texas list Jaynon Jackson 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 Jaynon Jackson was last updated on May 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.