SHANE LORAN JACKSON DPT
NPI 1548567571
Physical Therapist in Oakland, CA

Active since February 28, 2011Accepts Medicare Assignment
2844 SUMMIT ST, STE 106, OAKLAND, CA 94609(510) 788-4535 Get Directions Write a Review

NPPES record last updated: February 15, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shane Loran Jackson Dpt NPPES

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

SHANE LORAN JACKSON DPT (NPI 1548567571) is an individual physical therapist in Oakland, California, licensed in California (23897) and active in the NPI registry since February 2011. He is a graduate of University Of California, San Francisco School Of Medicine (1998).

NPPES Registry Identity

NPI1548567571
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameSHANE LORAN JACKSONCredential: DPT
Location Address2844 SUMMIT ST, STE 106Oakland, CA 94609-3641
Mailing Address2844 Summit St, Ste 106Oakland, CA 94609-3641 · (510) 788-4535
Sole ProprietorYes
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 1998
Enumeration DateFebruary 28, 2011
Last NPPES UpdateFebruary 15, 2016
NPI 1548567571 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 CA · 23897
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.
2844 SUMMIT ST, Oakland, CA 94609

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

Shane Loran Jackson 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 ID3072797265
PECOS Enrollment IDI20110413000287

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
292 services45 patients
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care G0283
Electrical stimulation is a therapy method where mild electrical pulses are used to treat pain or stimulate muscles in certain areas. It's not for wound care but is part of a broader therapy plan. It's safe, non-invasive, and can help improve overall health.
253 services43 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
226 services43 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
219 services39 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
204 services46 patients
Application of ultrasound, each 15 minutes 97035
Ultrasound is a medical procedure that uses high-frequency sound waves to capture live images from inside your body. It's a painless process typically lasting 15 minutes per session. This method aids in diagnosing conditions and monitoring health without any radiation exposure.
101 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94609 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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 13

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

Dentist (General Practice)
2844 SUMMIT ST, SUITE 206
OAKLAND, CA 94609
Dentist
2844 SUMMIT ST, SUITE 105
OAKLAND, CA 94609
Dentist
2844 SUMMIT ST, #205
OAKLAND, CA 94609
Physical Therapist
2844 SUMMIT ST, SUITE 106
OAKLAND, CA 94609
Dentist
2844 SUMMIT ST, SUITE 206
OAKLAND, CA 94609
Chiropractor
2844 SUMMIT ST, SUITE 203
OAKLAND, CA 94609
Dentist (General Practice)
2844 SUMMIT ST, STE 109
OAKLAND, CA 94609
Clinic/Center (Medical Specialty)
2844 SUMMIT ST, SUITE 103
OAKLAND, CA 94609

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 Shane Jackson's NPI number?

The NPI number for Shane Jackson is 1548567571. It was assigned to this individual provider in the NPPES registry on February 28, 2011.

Where is Shane Jackson located?

Shane Jackson practices at 2844 Summit St Ste 106, Oakland, CA 94609. The listed phone number is (510) 788-4535.

What is Shane Jackson's specialty?

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

Is Shane Jackson enrolled in Medicare?

Yes. Shane 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 Shane Jackson was last updated on February 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.