JACKSON TOBIN CAVANAUGH (DPT) – Physical Therapist, NPI 1306513841
Physical Therapist
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,865 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IN
Provider Addresses for JACKSON TOBIN CAVANAUGH (DPT)
418 W CLEVELAND RD STE B
GRANGER, IN 465305638
Phone: (574) 271-8424
Fax: (574) 271-8425
Type: Mailing
2555 COURT DR STE 400
GASTONIA, NC 280542180
Phone: (704) 864-5550
Fax: (704) 864-5550
Type: Mailing
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: 2023-12-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210917001313 | I | Physical Therapist In Private Practice | IN | TBD |
| I20231211000732 | I | Physical Therapist In Private Practice | NC | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 615 | 74 | $0 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 340 | 62 | $0 |
| 97116 | Therapy procedure for walking training, each 15 minutes | 117 | 23 | $0 |
| 97530 | Therapy procedure using functional activities | 96 | 19 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 59 | 18 | $0 |
Insurance plans in this area (ZIP 46530)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | NC | |
| Physical Therapist In Private Practice | NC | |
| Physical Therapist In Private Practice | FL | |
| Physical Therapist In Private Practice | NC | |
| Physical Therapist In Private Practice | NC | |
| Physical Therapist In Private Practice | NC | |
| Physical Therapist In Private Practice | VA | |
| Physical Therapist In Private Practice | NC | |
| Physical Therapist In Private Practice | NJ | |
| Physical Therapist In Private Practice | NJ |
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