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

Adrian D. Jackson

Individual provider Physical Therapy Assistant · NPI 1649129800

Adrian D. Jackson is a Physical Therapy Assistant in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2026.

Licensed in
WI
In the registry since
2026

Practice location Address checks out

3540 S 43rd St
Milwaukee, WI 53220-1502
Phone: (414) 541-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 4214-19 (WI)

Record details

NPI number1649129800
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 22, 2026
Last updated in NPPESJanuary 26, 2026
Certification dateJanuary 26, 2026
Mailing address11221 Synergy Dr # A-466, Milwaukee, WI 53222-1353

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