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

Carolyn E Jackson

Individual provider Physical Therapist · NPI 1750779187

Carolyn E Jackson is a Physical Therapist in Private Practice in Greenville, South Carolina. Qualified in 2014, 12 years ago. Practices with Purposed Physical Therapy, LLC, a 5-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
12
Licensed in
SC
In the registry since
2015
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Practice location Address checks out

11 Barkingham Ln Ste C
Greenville, SC 29607-5905
Phone: (864) 881-1712
Fax: (864) 435-9923
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 8118 (SC)

Record details

NPI number1750779187
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 8, 2015
Last updated in NPPESMarch 17, 2025
Certification dateMarch 17, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Purposed Physical Therapy, Llc. — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Greenville