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

Charles Lee Jackson Jr., PTA

Individual provider Physical Therapy Assistant · NPI 1386937183

Charles Lee Jackson Jr., PTA is a Physical Therapy Assistant in Las Vegas, Nevada. Practices as a sole proprietor. Licensed in Nevada.

Licensed in
NV
In the registry since
2011
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2250 E Flamingo Rd
Las Vegas, NV 89119-5170
Phone: (702) 784-4303
Fax: (702) 892-0237
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2012 (NV)

Record details

NPI number1386937183
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedMay 26, 2011
Last updated in NPPESMay 26, 2011

Other providers in Las Vegas