JOHN L JACKSON PT, DPT, ATC
NPI 1417435967
Physical Therapist in Bothell, WA

Active since August 06, 2018Accepts Medicare Assignment
18323 98TH AVE NE STE 1, BOTHELL, WA 98011(425) 371-7070 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 23, 2026, Mar 8, 2022, Nov 7, 2019 and 1 more (4 updates tracked since 2018).

About John L Jackson Pt, Dpt, Atc NPPES

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

JOHN L JACKSON PT, DPT, ATC (NPI 1417435967) is an individual physical therapist in Bothell, Washington, licensed in Washington (60863261) and active in the NPI registry since August 2018. He maintains 2 additional practice locations and is a graduate of Other (2018).

NPPES Registry Identity

NPI1417435967
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameJOHN L JACKSONCredential: PT, DPT, ATC
Location Address18323 98TH AVE NE STE 1Bothell, WA 98011-3358
Mailing Address1006 Redmond Ave NeRenton, WA 98056-3549 · (904) 476-0124
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 6, 2018
Last NPPES UpdateJune 23, 20264 updates tracked since enumeration
NPPES CertifiedJune 23, 2026
✔ NPI 1417435967 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 WA · 60863261
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.
18323 98TH AVE NE STE 1, Bothell, WA 98011

Secondary Practice Locations 2

Location 113315 68th Pl NEKirkland, WA 98034-1650 · Phone (866) 839-6979
Location 21006 Redmond Ave NERenton, WA 98056-3549 · Phone (904) 476-0124

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

John L Jackson Pt, Dpt, Atc 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 ID5193069631
PECOS Enrollment IDI20181210002772

Medicare Billing Reassignments

3

Medicare enrollment records show John Jackson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
10131 MAIN ST
Bothell, WA 98011
  • Reassigned Medicare billing, Washington enrollment
  • 1,074 clinicians in this Medicare group
Physical Therapist
13555 SE 36TH ST STE 100
Bellevue, WA 98006
  • Reassigned Medicare billing, Washington enrollment
  • 286 clinicians in this Medicare group
Physical Therapist
12620 INTERURBAN AVE S STE 150
Tukwila, WA 98168
  • Reassigned Medicare billing, Washington enrollment

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 98011 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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 7

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

Physical Therapist
18323 98TH AVE NE STE 1
BOTHELL, WA 98011
Physical Therapist
18323 98TH AVE NE STE 1
BOTHELL, WA 98011
Physical Therapist
18323 98TH AVE NE STE 1
BOTHELL, WA 98011
Physical Therapist
18323 98TH AVE NE STE 1
BOTHELL, WA 98011
Physical Therapist
18323 98TH AVE NE STE 1
BOTHELL, WA 98011
Clinic/Center (Physical Therapy)
18323 98TH AVE NE STE 1
BOTHELL, WA 98011
Physical Therapy Assistant
18323 98TH AVE NE STE 1
BOTHELL, WA 98011

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 John Jackson's NPI number?

The NPI number for John Jackson is 1417435967. It was assigned to this individual provider in the NPPES registry on August 6, 2018.

Where is John Jackson located?

John Jackson practices at 18323 98th Ave NE Ste 1, Bothell, WA 98011. The listed phone number is (425) 371-7070.

What is John Jackson's specialty?

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

Is John Jackson enrolled in Medicare?

Yes. John 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 John Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Jackson reassigns Medicare benefits to 3 organizations: King County Public Hospital District No 2 (Bothell, WA), Washington Luna Care Physical Therapy LLC (Bellevue, WA) and Rainier Movement And Performance PLLC (Tukwila, WA). 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 John Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Jackson accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list John 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 John Jackson was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.