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

Dr. Wayne Jackson, DPT

Individual provider Physical Therapist · NPI 1104204668

Dr. Wayne Jackson, DPT is a Physical Therapist in Ellicott City, Maryland. Licensed in Maryland. Registered with an NPI since 2015.

Licensed in
MD
In the registry since
2015
What do these letters mean?
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

10300B Baltimore National Pike
Ellicott City, MD 21042-2128
Phone: (410) 988-5171
Fax: (410) 988-5349
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 25338 (MD)

Record details

NPI number1104204668
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 15, 2015
Last updated in NPPESDecember 4, 2015

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