Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brandon Jackson PT

Organization Sports Physical Therapist · NPI 1205266764

Brandon Jackson PT is a Sports Physical Therapist in Las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2013.

Licensed in
NV
In the registry since
2013

Practice location Address checks out

4765 S Durango Dr Ste 106
Las Vegas, NV 89147-8145
Phone: (702) 898-7633
Fax: (702) 898-6433
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Physical Therapist (primary) Taxonomy 2251S0007X · Licence 1365 (NV)

Record details

NPI number1205266764
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brandon Jackson — Physical Therapist · (702) 845-1386
Other names Jackson Physical Therapy And Sports Medicine
NPI enumeratedNovember 20, 2013
Last updated in NPPESMay 2, 2014
Mailing address4765 S Durango Dr, Suite 106, Las Vegas, NV 89147-8145

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