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

Individual provider Physical Therapy Assistant · NPI 1689521585

Beverly Jackson, PTA is a Physical Therapy Assistant in Athens, Georgia. Practices as a sole proprietor and works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2026
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

665 Gaines School Rd
Athens, GA 30605-3127
Phone: (706) 369-8115
Fax: (706) 369-8116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 30 Tim Trl, Danielsville, GA 30633-6929 — (706) 795-0155

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA004284 (GA)

Record details

NPI number1689521585
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedMarch 11, 2026
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026
Mailing address665 Gaines School Rd, Athens, GA 30605-3127

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