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

Dr. Nicole R Jackson, DPT

Individual provider Physical Therapist · NPI 1033972104

Dr. Nicole R Jackson, DPT is a Physical Therapist in Private Practice in Brentwood, Missouri. Qualified in 2007, 19 years ago. Practices with Empowerme Rehabilitation LLC, a 440-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
19
Licensed in
VA
In the registry since
2024
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

1335 Strassner Dr
Brentwood, MO 63144-1872
Phone: (313) 289-0178
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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 2305205164 (VA)

Record details

NPI number1033972104
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedFebruary 1, 2024
Last updated in NPPESFebruary 1, 2024
Certification dateFebruary 1, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Empowerme Rehabilitation Llc — 440 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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