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

Bethany I Jackson

Individual provider Physical Therapy Assistant · NPI 1669830204

Bethany I Jackson is a Physical Therapy Assistant in Irvington, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2016
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Practice location Address checks out

10 Marshall St Apt 5A
Irvington, NJ 07111-8701
Phone: (201) 344-3960
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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 40QB00293000 (NJ)

Record details

NPI number1669830204
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 9, 2016
Last updated in NPPESFebruary 9, 2016
Mailing address10 Marshall St, Apt 5a, Irvington, NJ 07111-8701

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