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

Individual provider Physical Therapist · NPI 1003490137

Emily Mae Jackson, DPT, OCS is a Physical Therapist in Private Practice in Roswell, Georgia. Qualified in 2021, 5 years ago. Practices with Georgia Luna Care Physical Therapy LLC, a 166-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2021
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

87 Vickery St
Roswell, GA 30075-4924
Phone: (404) 254-5607
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1322 E Washington St Ste B1, Greenville, SC 29607-1867 — (642) 729-4081

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1003490137
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT , OCS
Sole proprietorNo
NPI enumeratedMay 5, 2021
Last updated in NPPESJuly 2, 2025
Certification dateJuly 2, 2025
Mailing address11840 Dancliff Trce, Alpharetta, GA 30009-8736

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Georgia Luna Care Physical Therapy Llc — 166 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Roswell