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

Dr. Jackson Thomas Pruett, PT, DPT

Individual provider Physical Therapist · NPI 1013532498

Dr. Jackson Thomas Pruett, PT, DPT is a Physical Therapist in Private Practice in Fayetteville, North Carolina. Qualified in 2019, 7 years ago. Practices with Benchmark Physical Therapy of North Carolina, LLC, a 240-clinician group and works from 2 locations. Licensed in North Carolina and South Carolina.

Years since qualifying
7
Licensed in
NC, SC
In the registry since
2020
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

5860 Yadkin Rd
Fayetteville, NC 28303-2668
Phone: (910) 491-5164
Show map & directions

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

Additional practice locations (1)

  • 1525 Celanese Rd Ste 113, Rock Hill, SC 29732-1757 — (803) 366-8243

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence P19589 (NC)
Physical Therapist Taxonomy 225100000X · Licence 10968 (SC)

Record details

NPI number1013532498
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJune 11, 2020
Last updated in NPPESFebruary 4, 2026
Certification dateFebruary 4, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Benchmark Physical Therapy Of North Carolina, Llc — 240 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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