DR. BRYAN W JACKSON (D.C., P.T.) – Physical Therapist, NPI 1649288317
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,664 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NC
Provider Addresses for DR. BRYAN W JACKSON (D.C., P.T.)
5215 South Blvd Ste A
Charlotte, NC 282172771
Phone: (704) 525-6288
Fax: (704) 525-6384
Type: Location
100, Saybrook Road, Middletown, Middlesex County, Connecticut, 06457, United States
MIDDLETOWN, CT 064574780
Phone: (860) 638-3820
Fax: (860) 638-3840
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $18.
Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: VERTEX PHARMACEUTICALS INCORPORATED ($18).
Total Amount
$18
General + Research + Ownership
Payments
1
Total payment records
General Amount
$18
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| VERTEX PHARMACEUTICALS INCORPORATED | $18 |
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: 2015-03-31
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150331001592 | I | Physical Therapist In Private Practice | CT | 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 |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 501 | 75 | $0 |
| 97113 | Therapy procedure using water pool to exercises, each 15 minutes | 466 | 28 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 466 | 102 | $0 |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 354 | 79 | $0 |
| 97150 | Therapy procedure in a group setting | 83 | 25 | $0 |
Insurance plans in this area (ZIP 28217)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NY | |
| Physician Assistant | CT | |
| Hand Surgery, Orthopedic Surgery | CT | |
| Orthopedic Surgery | NY | |
| Sports Medicine | CT | |
| Physical Therapist In Private Practice | VT | |
| Physical Therapist In Private Practice | CT | |
| - | CT | |
| Physical Therapist In Private Practice | NY | |
| Orthopedic Surgery | CT |
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