JACKSON DAVID CLOUSE – Physical Therapist, NPI 1003478181

JACKSON DAVID CLOUSE is a healthcare provider. based in Milan, Tennessee. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 12254 (TN). The NPI Number for JACKSON DAVID CLOUSE is 1003478181

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
JACKSON DAVID CLOUSE
NPI
1003478181
Phone
(731) 613-2214
Address
PO BOX 1004
Enumeration Date
28 June 2019
Last Update Date
28 June 2019

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
7316132214
Graduation Year
2019 (7 years ago)
PAC ID
3476881848
Group Practice PAC ID
5193873933
Professional Enrollment ID
I20190822002730
Address ID
TN383585201MI2060XXING300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

2,335 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TN

Provider Addresses for JACKSON DAVID CLOUSE

  • Milan, Merville Park Subdivision, Parañaque, Metro Manila, 1709, Philippines

    MILAN, TN 383581004

    Phone: (731) 613-2214

    Type: Mailing

  • 2060 RHINO CROSSING

    MILAN, TN 38358

    Phone: (731) 613-2214

    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: 2025-03-28

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190822002730IPhysical Therapist In Private PracticeTNTBD
I20250328000355IPhysical Therapist In Private PracticeMSTBD

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 minutes3,648116$0
97140Therapy procedure using manual technique, each 15 minutes2,794111$0
97530Therapy procedure using functional activities2,02399$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1,21077$0
97116Therapy procedure for walking training, each 15 minutes15216$0
View full utilization report →

Insurance plans in this area (ZIP 38358)

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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: 5193873933View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTN
Physical Therapist In Private PracticeTN
Physical Therapist In Private PracticeTN
Physical Therapist In Private PracticeTN
Physical Therapist In Private PracticeTN
Occupational Therapist In Private PracticeTN
Physical Therapist In Private PracticeTN
Physical Therapist In Private PracticeTN
-TN
Physical Therapist In Private PracticeTN

Reviews

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Frequently asked questions

Can I verify JACKSON DAVID CLOUSE with an NPI only?
You can start verification with NPI 1003478181 for JACKSON DAVID CLOUSE, then check state licensing separately.
Does CMS list JACKSON DAVID CLOUSE as active?
Yes — JACKSON DAVID CLOUSE is active in the NPI listing used on this page.
What taxonomy line describes JACKSON DAVID CLOUSE?
For research purposes, treat JACKSON DAVID CLOUSE as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect JACKSON DAVID CLOUSE on a map?
Expect Milan, Tennessee as a primary anchor for JACKSON DAVID CLOUSE unless the record lists multiple sites.
Is the information about JACKSON DAVID CLOUSE up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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