Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Charlene J. Jackson, PT

Physical Therapist in Ashtabula, OH · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417073552

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Registry record

Entity type Individual (Type 1)

Name Charlene J. Jackson

Credential PT

Sex Female

Practice address 416 W 27th St, Ashtabula, OH, 44004

Phone (440) 997-5427

Fax (440) 997-5486

Enumeration date Mar 21, 2007

Last updated in NPPES Aug 15, 2024

Taxonomy & licenses

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License PT01263 (OH) Primary

PT · Physical Therapist: A licensed movement specialist treating injury and disability through exercise and rehabilitation. About the PT credential

Other identifiers

Identifier	Type	State	Issuer
0747777	Medicaid	OH	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Charlene Jackson?

The National Provider Identifier (NPI) for Charlene Jackson is 1417073552, a Type 1 (individual) record in the CMS NPPES registry.

Where does Charlene Jackson practice?

The practice location on file with NPPES is in Ashtabula, OH. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-08-15.