CODY JEFFERSON JACKS DPT
NPI 1669148391
Physical Therapist in Anderson, CA

Active since August 22, 2021Accepts Medicare Assignment
20.24/100
CMS Quality Rating
2835 CHILDRESS DR, ANDERSON, CA 96007(530) 378-0098 Get Directions Write a Review

NPPES record last updated: August 22, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cody Jefferson Jacks Dpt NPPES

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

CODY JEFFERSON JACKS DPT (NPI 1669148391) is an individual physical therapist in Anderson, California and active in the NPI registry since August 2021. He is a graduate of Other (2021).

NPPES Registry Identity

NPI1669148391
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameCODY JEFFERSON JACKSCredential: DPT
Location Address2835 CHILDRESS DRAnderson, CA 96007-3563
Mailing Address5874 Avery WayRedding, CA 96003-3095 · (907) 602-2617
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 22, 2021
NPPES CertifiedAugust 22, 2021
NPI 1669148391 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
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:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>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.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>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.

2835 CHILDRESS DR, Anderson, CA 96007

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

Cody Jefferson Jacks 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 ID6800294059
PECOS Enrollment IDI20211001002687

Areas of Expertise CMS Part B claims 11

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.
3,309 services259 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.
1,926 services253 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.
1,097 services188 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.
976 services148 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.
896 services137 patients
Therapy procedure using water pool to exercises, each 15 minutes 97113
This therapy involves exercising in a water pool for 15-minute intervals. The buoyancy of the water supports your body, reducing stress on joints and muscles. It's beneficial for improving strength, flexibility, and balance. It's a gentle, low-impact form of exercise suitable for all ages.
367 services51 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96007 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

20.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality30.48
Improvement Activities0

Other Providers at the Same Location NPPES 6

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

Physical Therapist
2835 CHILDRESS DR
ANDERSON, CA 96007
Specialist
2835 CHILDRESS DR
ANDERSON, CA 96007
Physical Therapist
2835 CHILDRESS DR
ANDERSON, CA 96007
Physical Therapist
2835 CHILDRESS DR
ANDERSON, CA 96007
Physical Therapist
2835 CHILDRESS DR
ANDERSON, CA 96007
Physical Therapy Assistant
2835 CHILDRESS DR
ANDERSON, CA 96007

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 Cody Jacks's NPI number?

The NPI number for Cody Jacks is 1669148391. It was assigned to this individual provider in the NPPES registry on August 22, 2021.

Where is Cody Jacks located?

Cody Jacks practices at 2835 Childress Dr, Anderson, CA 96007. The listed phone number is (530) 378-0098.

What is Cody Jacks's specialty?

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

Is Cody Jacks enrolled in Medicare?

Yes. Cody Jacks 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 Cody Jacks was last updated on August 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.