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

Elizabeth Jackson

Individual provider Physical Therapist · NPI 1720951379

Elizabeth Jackson is a Physical Therapist in Private Practice in Augusta, Georgia. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Georgia.

Years since qualifying
1
Licensed in
GA
In the registry since
2025
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Practice location Address checks out

1446 Harper St
Augusta, GA 30912-0012
Phone: (912) 585-4211
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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 PT017811 (GA)

Record details

NPI number1720951379
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 29, 2025
Last updated in NPPESOctober 24, 2025
Certification dateSeptember 29, 2025
Mailing address4304 Candleberry Gdn, North Augusta, SC 29860-7203

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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