MS. EARLENE JACKSON PT, DPT
NPI 1417223256
Physical Therapist in Lanham, MD

Active since March 27, 2012Accepts Medicare Assignment
7404 EXECUTIVE PL, #300B, LANHAM, MD 20706(301) 599-9500 Get Directions Write a Review

NPPES record last updated: February 28, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Earlene Jackson Pt, Dpt NPPES

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

MS. EARLENE JACKSON PT, DPT (NPI 1417223256) is an individual physical therapist in Lanham, Maryland, licensed in Maryland (23062) and active in the NPI registry since March 2012. She is a graduate of Other (2004).

NPPES Registry Identity

NPI1417223256
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMS. EARLENE JACKSONCredential: PT, DPT
Location Address7404 EXECUTIVE PL, #300BLanham, MD 20706-2268
Mailing Address7404 Executive Pl, #300bLanham, MD 20706-2268 · (301) 599-9500
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMarch 27, 2012
Last NPPES UpdateFebruary 28, 2014
✔ NPI 1417223256 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 MD · 23062
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.
7404 EXECUTIVE PL, Lanham, MD 20706

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

Ms. Earlene Jackson Pt, Dpt 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 ID1254563216
PECOS Enrollment IDI20140407001513

Medicare Billing Reassignments

2

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

Physical Therapist
8743 PINEY ORCHARD PKWY, SUITES 104,105 & 106
Odenton, MD 21113
  • Reassigned Medicare billing, Maryland enrollment
  • 299 clinicians in this Medicare group
Physical Therapist
5425 WISCONSIN AVE STE 600
Chevy Chase, MD 20815
  • Reassigned Medicare billing, District of Columbia enrollment
  • 177 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 20706 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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 14

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

Social Worker
7404 EXECUTIVE PL
LANHAM, MD 20706
Physician Assistant (Medical)
7404 EXECUTIVE PL, 502
LANHAM, MD 20706
Psychologist
7404 EXECUTIVE PL
LANHAM, MD 20706
In Home Supportive Care
7404 EXECUTIVE PL
LANHAM, MD 20706
Podiatrist (Foot Surgery)
7404 EXECUTIVE PL, SUITE 501
LANHAM, MD 20706
Orthopaedic Surgery
7404 EXECUTIVE PL, STE 300B
LANHAM, MD 20706
Social Worker (Clinical)
7404 EXECUTIVE PL
LANHAM, MD 20706
Podiatrist (Foot Surgery)
7404 EXECUTIVE PL, SUITE 501
LANHAM, MD 20706

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 Earlene Jackson's NPI number?

The NPI number for Earlene Jackson is 1417223256. It was assigned to this individual provider in the NPPES registry on March 27, 2012.

Where is Earlene Jackson located?

Earlene Jackson practices at 7404 Executive Pl #300b, Lanham, MD 20706. The listed phone number is (301) 599-9500.

What is Earlene Jackson's specialty?

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

Is Earlene Jackson enrolled in Medicare?

Yes. Earlene 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 Earlene Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Earlene Jackson reassigns Medicare benefits to 2 organizations: Lhmg Physical Therapy, LLC (Odenton, MD) and Maryland Luna Care Physical Therapy LLC (Chevy Chase, MD). 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 Earlene 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 Earlene Jackson was last updated on February 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.