JENNIFER JACKSON
NPI 1407612062
Physical Therapist in Terre Haute, IN
About Jennifer Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER JACKSON (NPI 1407612062) is an individual physical therapist in Terre Haute, Indiana, licensed in Indiana (05007782A) and active in the NPI registry since February 2024.
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.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jennifer Jackson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jennifer Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Terre Haute, IN 47802
- Reassigned Medicare billing, Indiana enrollment
- 52 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.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TERRE HAUTE, IN 47802
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 Jennifer Jackson's NPI number?
The NPI number for Jennifer Jackson is 1407612062. It was assigned to this individual provider in the NPPES registry on February 22, 2024.
Where is Jennifer Jackson located?
Jennifer Jackson practices at 1450 E Crossing Blvd, Terre Haute, IN 47802. The listed phone number is (812) 575-4057.
What is Jennifer Jackson's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Jennifer Jackson enrolled in Medicare?
Yes. Jennifer Jackson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jennifer Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Jackson reassigns Medicare benefits to Anew Therapy & Wellness LLC (Terre Haute, IN). The 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 Jennifer Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jennifer Jackson was last updated on February 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.