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

David Blake Jackson, DPT

Individual provider Physical Therapist · NPI 1023527041

David Blake Jackson, DPT is a Physical Therapist in Private Practice in Winchester, Kentucky. Qualified in 2017, 9 years ago. Accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
9
Licensed in
KY
In the registry since
2017
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1932 Bypass Rd
Winchester, KY 40391-2389
Phone: (859) 385-4888
Fax: (859) 757-0088
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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 007280 (KY)

Record details

NPI number1023527041
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 21, 2017
Last updated in NPPESJuly 24, 2025
Certification dateJuly 24, 2025
Mailing address1932 Bypass Rd, Winchester, KY 40391-2389

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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