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

Gina M Jackson, PTA

Individual provider Physical Therapy Assistant · NPI 1619658192

Gina M Jackson, PTA is a Physical Therapy Assistant in Lakeland, Florida. Practices as a sole proprietor and works from 3 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2023
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

716 E Bella Vista St
Lakeland, FL 33805-3009
Phone: (863) 683-6504
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (2)

  • 695 E Summerlin St, Bartow, FL 33830-4848 — (863) 255-8307
  • 2211 28th St Nw, Winter Haven, FL 33881-1807 — (863) 683-6504

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA27269 (FL)

Record details

NPI number1619658192
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedJuly 27, 2023
Last updated in NPPESJuly 27, 2023
Certification dateJuly 27, 2023
Mailing address716 E Bella Vista St, Lakeland, FL 33805-3009

Other providers in Lakeland