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

Austin R Jackson

Individual provider Physical Therapist · NPI 1770271074

Austin R Jackson is a Physical Therapist in Private Practice in Bellefonte, Pennsylvania. Qualified in 2023, 3 years ago. Practices with Revival Health and Rehab PLLC, a 2-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2023
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Practice location Address checks out

380 Phoenix Ave
Bellefonte, PA 16823-1309
Phone: (814) 574-0328
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2400 Lakeside Drive, Lynchburg, VA 24501 — (434) 338-7215

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1770271074
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 26, 2023
Last updated in NPPESMarch 6, 2025
Certification dateMarch 6, 2025
Mailing address380 Phoenix Ave, Bellefonte, PA 16823-1309

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Revival Health And Rehab Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bellefonte