Deborah A. Jackson, PHD,PT, OCS,CMP, ATC

Physical Therapist · St Augustine, FL

Individual Active NPI

NPI number 1336107408

Practice location

319 W Town Pl
Suite 5
St Augustine, FL 32092-3101
Phone
(904) 342-5262
Fax
(904) 217-3580

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NPI record

NPI
1336107408
Entity type
Individual (Type 1)
Enumeration date
May 1, 2006
Last updated
October 19, 2012
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapist Primary 225100000X PT11000 FL

About Dr. Jackson

Deborah A. Jackson, PHD,PT, OCS,CMP, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 319 W Town Pl, Suite 5, St Augustine, FL 32092-3101. The NPI number 1336107408 was assigned on May 1, 2006 and the record was last updated on October 19, 2012.

Dr. Jackson lists a license in the registry: #PT11000 (FL) for 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 Deborah A. Jackson, PHD,PT, OCS,CMP, ATC?

The NPI number is 1336107408.

What is the phone number of Dr. Jackson?

The phone number listed for the practice location is (904) 342-5262.

Where is Dr. Jackson located?

319 W Town Pl, Suite 5, St Augustine, FL 32092-3101.

What is the taxonomy code for Dr. Jackson?

The primary taxonomy code is 225100000X – Physical Therapist.

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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