TIPHANI JACKSON PT, DPT, ATC
NPI 1568911071
Physical Therapist in Bowie, MD
About Tiphani Jackson Pt, Dpt, Atc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIPHANI JACKSON PT, DPT, ATC (NPI 1568911071) is an individual physical therapist in Bowie, Maryland, licensed in Maryland (27375) and active in the NPI registry since September 2016. She maintains a secondary practice location in Bowie and is a graduate of Other (2018).
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.
Secondary Practice Location 1
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
Tiphani 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.
Medicare Billing Reassignments
8Medicare enrollment records show Tiphani Jackson reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bowie, MD 20716
- Reassigned Medicare billing, District of Columbia enrollment
- 47 clinicians in this Medicare group
Bowie, MD 20716
- Reassigned Medicare billing, District of Columbia enrollment
- Medicare enrollment name: Made To Move LLC
- 18 clinicians in this Medicare group
Edgewater, MD 21037
- Reassigned Medicare billing, Maryland enrollment
- 299 clinicians in this Medicare group
Laurel, MD 20707
- Reassigned Medicare billing, District of Columbia enrollment
- 10 clinicians in this Medicare group
Chevy Chase, MD 20815
- Reassigned Medicare billing, District of Columbia enrollment
- 177 clinicians in this Medicare group
Dahlonega, GA 30533
- Reassigned Medicare billing, Georgia enrollment
- Medicare enrollment name: Independent Physical Therapy Of Georgia, LLC
- 1,061 clinicians in this Medicare group
Cumming, GA 30041
- Reassigned Medicare billing, Georgia enrollment
- 788 clinicians in this Medicare group
Hixson, TN 37343
- Reassigned Medicare billing, Georgia enrollment
- 521 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.
Areas of Expertise CMS Part B claims 6
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20716 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Tiphani Jackson's NPI number?
The NPI number for Tiphani Jackson is 1568911071. It was assigned to this individual provider in the NPPES registry on September 26, 2016.
Where is Tiphani Jackson located?
Tiphani Jackson practices at 4000 Mitchellville Rd # B222b224, Bowie, MD 20716. The listed phone number is (301) 412-9552.
What is Tiphani Jackson's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Tiphani Jackson enrolled in Medicare?
Yes. Tiphani 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 Tiphani Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tiphani Jackson reassigns Medicare benefits to 8 organizations: Forever Fit Physical Therapy & Wellness LLC (Bowie, MD), Made To Move LLC Dba Forever Fit Physical Therapy & Wellness (Bowie, MD), Lhmg Physical Therapy, LLC (Edgewater, MD), Cam Physical Therapy And Wellness Services LLC (Laurel, MD), Maryland Luna Care Physical Therapy LLC (Chevy Chase, MD) and 3 more organizations, listed in the Medicare section above. 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 Tiphani 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 Tiphani Jackson was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Tiphani Jackson, PT, DPT, ATC · NPI 1568911071
Physical Therapist provider in Bowie, Maryland. Individual provider, active in the CMS NPPES registry since September 26, 2016.
## Identity
- **NPI:** 1568911071 (Entity type: Individual)
- **Enumerated:** September 26, 2016
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **State license:** 27375 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4000 MITCHELLVILLE RD # B222B224, Bowie, MD 20716-3104
- **Phone:** (301) 412-9552 · **Fax:** (301) 500-2175
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Forever Fit Physical Therapy & Wellness LLC (NPI 1073085924, Bowie, MD); Made To Move LLC Dba Forever Fit Physical Therapy & Wellness (NPI 1497154223, Bowie, MD); Lhmg Physical Therapy, LLC (NPI 1508373010, Edgewater, MD); Cam Physical Therapy And Wellness Services LLC (NPI 1881775161, Laurel, MD); Maryland Luna Care Physical Therapy LLC (NPI 1083340988, Chevy Chase, MD); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** February 28, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1568911071) · Data from the CMS NPPES public registry.