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

Chasity Jackson

Individual provider Physical Therapy Assistant · NPI 1003709080

Chasity Jackson is a Physical Therapy Assistant in Chamblee, Georgia. Licensed in Georgia. Registered with an NPI since 2025.

Licensed in
GA
In the registry since
2025

Practice location Address checks out

5440 Peachtree Blvd
Chamblee, GA 30341-2255
Phone: (470) 719-0090
Fax: (470) 719-0091
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA005168 (GA)

Record details

NPI number1003709080
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 30, 2025
Last updated in NPPESAugust 1, 2025
Certification dateAugust 1, 2025
Mailing address33900 Harper Ave Ste 104, Clinton Twp, MI 48035-4258