Doctor profile · Federal record
Dr. Samuel Jackson
Physical Therapist · Physical Therapist · Chester, VA
- NPI 1588204721
- 6 yrs on file
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
10438 Iron Bridge RD
Chester, VA 238311427
(804) 796-1518 - Additional location
-
101 Manning Dr
Chapel Hill, NC 275144220
(984) 974-1000 - Mailing address
-
9101 Stony Point Pkwy Apt 1140
Richmond, VA 232352059
Credentials & registration
- NPI registered
- January 2020 — 6 yrs on file
- Profile last updated
- September 21, 2021
- Specialty taxonomy
- 225100000X — NUCC code
- State licenses (2)
- North Carolina #P20566 · Virginia #2305213383
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1588204721. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
48
Distinct HCPCS
3
Medicare allowed
$1,423
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
97110 |
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 24 | 20 | $25 | |
97112 |
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 13 | 11 | $31 | |
97530 |
Therapy procedure using functional activities | 11 | 11 | $38 |
In context: peer comparison
Among 7 peers in this city , average services per provider: 397. This provider delivers 0.1× the peer median.Frequently asked questions
What is Dr. Samuel Jackson's medical specialty?
Dr. Samuel Jackson practices Physical Therapist in Chester, VA.
Where does Dr. Samuel Jackson practice?
Dr. Samuel Jackson practices at 10438 Iron Bridge RD, Chester, VA 238311427. Office phone: 8047961518.
What is Dr. Samuel Jackson's NPI?
Dr. Samuel Jackson's National Provider Identifier (NPI) is 1588204721, issued by NPPES.
What procedures does Dr. Samuel Jackson commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility (HCPCS 97110); Therapy procedure to re-educate brain-to-nerve-to-muscle function (HCPCS 97112); Therapy procedure using functional activities (HCPCS 97530). Source: CMS Medicare Physician & Other Practitioners file.