Doctor profile · Federal record
Dr. Samuel Jackson, DPT
Physical Therapist (CMS: Physical Therapist in Private Practice) · Physical Therapist · Mt Pleasant, SC
- NPI 1811511199
- Accepts Medicare
- 6 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1125 Landau Ln
Mt Pleasant, SC 294667300
(843) 375-5448 - Mailing address
-
5111 N Rhett Ave
North Charleston, SC 294054219
Credentials & registration
- NPI registered
- June 2020 — 6 yrs on file
- Profile last updated
- October 20, 2022
- Year of graduation
- 2020 — 6 yrs since
- Specialty taxonomy
- 225100000X — NUCC code
- State license (1)
- South Carolina #10222
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1811511199. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,192
Distinct HCPCS
6
Medicare allowed
$29,279
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
97530 |
Therapy procedure using functional activities | 463 | 25 | $30 | |
97140 |
Therapy procedure using manual technique, each 15 minutes | 307 | 23 | $20 | |
97110 |
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 267 | 25 | $22 | |
G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 121 | 12 | $9 | |
97164 |
Re-evaluation for physical therapy, typically 20 minutes | 18 | 14 | $66 | |
97161 |
Evaluation for physical therapy, typically 20 minutes | 16 | 15 | $90 |
In context: peer comparison
Among 22 peers in this city , average services per provider: 520. This provider delivers 2.3× the peer median.Frequently asked questions
What is Dr. Samuel Jackson's medical specialty?
Dr. Samuel Jackson practices Physical Therapist in Mt Pleasant, SC.
Where does Dr. Samuel Jackson practice?
Dr. Samuel Jackson practices at 1125 Landau Ln, Mt Pleasant, SC 294667300. Office phone: 8433755448.
What is Dr. Samuel Jackson's NPI?
Dr. Samuel Jackson's National Provider Identifier (NPI) is 1811511199, issued by NPPES.
Does Dr. Samuel Jackson accept Medicare assignment?
Yes. Dr. Samuel Jackson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Samuel Jackson commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure using functional activities (HCPCS 97530); Therapy procedure using manual technique (HCPCS 97140); Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility (HCPCS 97110). Source: CMS Medicare Physician & Other Practitioners file.