MRS. SHARON JACKOLA (P.T.) – Physical Therapist, NPI 1265740682

MRS. SHARON JACKOLA (P.T.) is a healthcare provider. based in North hills, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T.. They hold a License No. PT17648 (CA). The NPI Number for MRS. SHARON JACKOLA (P.T.) is 1265740682

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SHARON JACKOLA (P.T.)
NPI
1265740682
Phone
(818) 893-4204
Address
9231 NATICK AVE
Enumeration Date
20 September 2010
Last Update Date
20 September 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8774073422
Graduation Year
1991 (35 years ago)
PAC ID
7719476563
Group Practice PAC ID
5698209799
Professional Enrollment ID
I20251030004433
Address ID
CA91362XXXXWEXXXXXXXXXX00
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for MRS. SHARON JACKOLA (P.T.)

  • 9231 NATICK AVE

    NORTH HILLS, CA 913433421

    Phone: (818) 893-4204

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251030004433IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 91343)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698209799View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeCA
Occupational Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeMD
Physical Therapist In Private PracticeCA
Occupational Therapist In Private PracticeCA
Physical Therapist In Private PracticeIL
Occupational Therapist In Private PracticeCA
Qualified Speech Language PathologistWI
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

Is there an official ID for MRS. SHARON JACKOLA (P.T.) in U.S. healthcare records?
The official identifier for MRS. SHARON JACKOLA (P.T.) is NPI 1265740682.
Active or inactive — what applies to MRS. SHARON JACKOLA (P.T.)?
You should see MRS. SHARON JACKOLA (P.T.) as active in CMS-hosted NPPES data.
What expertise is attributed to MRS. SHARON JACKOLA (P.T.)?
MRS. SHARON JACKOLA (P.T.)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
Where in California is MRS. SHARON JACKOLA (P.T.) registered?
Use North Hills, California as the headline location for MRS. SHARON JACKOLA (P.T.) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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