Austin Jacob Jackson, PT., DPT.

Physical Therapist · Bridgeview, IL

Individual Active NPI

NPI number 1194242388

Practice location

8755 S Harlem Ave
Bridgeview, IL 60455
Phone
(708) 430-2295

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NPI record

NPI
1194242388
Entity type
Individual (Type 1)
Enumeration date
August 28, 2017
Last updated
August 28, 2017
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapist Primary 225100000X 2017029489 MO
Orthopedic Physical Therapist 2251X0800X 2017029489 MO

About Austin Jackson

Austin Jacob Jackson, PT., DPT. is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 8755 S Harlem Ave, Bridgeview, IL 60455. The NPI number 1194242388 was assigned on August 28, 2017 and the record was last updated on August 28, 2017.

Austin Jackson lists 2 licenses in the registry: #2017029489 (MO) for Physical Therapist; #2017029489 (MO) for Orthopedic Physical Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Austin Jacob Jackson, PT., DPT.?

The NPI number is 1194242388.

What is the phone number of Austin Jackson?

The phone number listed for the practice location is (708) 430-2295.

Where is Austin Jackson located?

8755 S Harlem Ave, Bridgeview, IL 60455.

What is the taxonomy code for Austin Jackson?

The primary taxonomy code is 225100000X – Physical Therapist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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