MRS. TANYA KAYE JACKSON (DPT) – Physical Therapist, NPI 1679512784

MRS. TANYA KAYE JACKSON (DPT) is a healthcare provider. based in Tulsa, Oklahoma. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 3107 (OK). The NPI Number for MRS. TANYA KAYE JACKSON (DPT) is 1679512784

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
MRS. TANYA KAYE JACKSON (DPT)
NPI
1679512784
Phone
(918) 494-2665
Address
2488 E 81ST ST STE 290
Enumeration Date
5 June 2006
Last Update Date
18 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9184942665
Graduation Year
2009 (17 years ago)
PAC ID
1355410812
Group Practice PAC ID
8426320912
Professional Enrollment ID
I20080523000238
Address ID
OK741374265TU2488XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

845 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OK

Provider Addresses for MRS. TANYA KAYE JACKSON (DPT)

  • 2488 E 81ST ST STE 290

    TULSA, OK 741374265

    Phone: (918) 494-2665

    Fax: (918) 927-3193

    Type: Location

  • East 81st Street, Oak Tree Village, Tulsa, Tulsa County, Oklahoma, 74012, United States

    TULSA, OK 741374265

    Phone: (918) 927-3737

    Fax: (918) 927-3193

    Type: Mailing

  • South Memorial Drive, Bixby, Tulsa County, Oklahoma, United States

    BIXBY, OK 740082577

    Phone: (918) 394-2770

    Fax: (918) 394-2772

    Type: Location

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: 2008-05-23

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
I20080523000238IPhysical Therapist In Private PracticeOKTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes372126$0
97140Therapy procedure using manual technique, each 15 minutes14792$0
97530Therapy procedure using functional activities3418$0
97162Evaluation for physical therapy, typically 30 minutes2323$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes2215$0
View full utilization report →

Insurance plans in this area (ZIP 74137)

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Provider's Procedures

MRS. TANYA KAYE JACKSON (DPT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYOK97001Physical therapy evaluation3837

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: 8426320912View full group profile
NameSpecialtyState
Physician AssistantOK
-OK
Physical Therapist In Private PracticeOK
Physical Therapist In Private PracticeOK
Physician AssistantOK
Orthopedic SurgeryOK
Physical Therapist In Private PracticeOK
-OK
-TN
Physical Therapist In Private PracticeOK

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Frequently asked questions

What is the standard ID for MRS. TANYA KAYE JACKSON (DPT) in the U.S.?
In the U.S., MRS. TANYA KAYE JACKSON (DPT) is identified by NPI 1679512784.
Is MRS. TANYA KAYE JACKSON (DPT) currently accepting referrals based on NPI status?
Registry metadata lists MRS. TANYA KAYE JACKSON (DPT) as active.
What services align with MRS. TANYA KAYE JACKSON (DPT)'s listing?
MRS. TANYA KAYE JACKSON (DPT)'s public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to MRS. TANYA KAYE JACKSON (DPT)?
The directory associates MRS. TANYA KAYE JACKSON (DPT) with Tulsa, Oklahoma. Check all listed addresses for suites or satellite offices.
Who maintains MRS. TANYA KAYE JACKSON (DPT)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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