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

Breana M Jackson, PTA

Individual provider Physical Therapy Assistant · NPI 1952018541

Breana M Jackson, PTA is a Physical Therapy Assistant in Laurel, Maryland. Registered with an NPI since 2022.

In the registry since
2022
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

14205 Park Center Dr Ste 204
Laurel, MD 20707-5252
Phone: (301) 853-0093
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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

Record details

NPI number1952018541
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedNovember 2, 2022
Last updated in NPPESNovember 2, 2022
Certification dateNovember 2, 2022
Mailing address14205 Park Center Dr Ste 204, Laurel, MD 20707-5252

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