Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

VIVIAN SAPPHIRA JACKSON
NPI 1285588673
Physical Therapist in Winston Salem, NC

Active since February 24, 2026Accepts Medicare Assignment
1602 S STRATFORD RD STE 130, WINSTON SALEM, NC 27103(336) 281-2045 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 29, 2026, May 11, 2026, Mar 9, 2026 (3 updates tracked since 2026).

About Vivian Sapphira Jackson NPPES

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

VIVIAN SAPPHIRA JACKSON (NPI 1285588673) is an individual physical therapist in Winston Salem, North Carolina, licensed in North Carolina (P24685) and active in the NPI registry since February 2026. She is a graduate of Other (2025).

NPPES Registry Identity

NPI1285588673
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameVIVIAN SAPPHIRA JACKSON
Location Address1602 S STRATFORD RD STE 130Winston Salem, NC 27103-2959
Mailing Address2122 York Rd Ste 300Oak Brook, IL 60523-1925
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 24, 2026
Last NPPES UpdateJuly 29, 20263 updates tracked since enumeration
NPPES CertifiedJuly 29, 2026
NPI 1285588673 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
Licenses Licensed in NC · P24685 Licensed in GA · CP053417T
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.
1602 S STRATFORD RD STE 130, Winston Salem, NC 27103

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Vivian Sapphira 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 ID3476024183
PECOS Enrollment IDI20260603003300

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27103 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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
1602 S STRATFORD RD STE 130
WINSTON SALEM, NC 27103
Physical Therapist
1602 S STRATFORD RD STE 130
WINSTON SALEM, NC 27103

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 Vivian Jackson's NPI number?

The NPI number for Vivian Jackson is 1285588673. It was assigned to this individual provider in the NPPES registry on February 24, 2026.

Where is Vivian Jackson located?

Vivian Jackson practices at 1602 S Stratford Rd Ste 130, Winston Salem, NC 27103. The listed phone number is (336) 281-2045.

What is Vivian Jackson's specialty?

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

Is Vivian Jackson enrolled in Medicare?

Yes. Vivian 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.

When was this NPI record last updated?

The NPPES record for Vivian Jackson was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.