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

Jackson Ford Ballard, PT

Individual provider Physical Therapist · NPI 1063709814

Jackson Ford Ballard, PT is a Physical Therapist in Private Practice in New Albany, Mississippi. Qualified in 2011, 15 years ago. Practices with Athletico Ltd, a 2,186-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Mississippi and Tennessee.

Years since qualifying
15
Licensed in
MS, TN
In the registry since
2011
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

206B Oxford Rd
New Albany, MS 38652-3115
Phone: (662) 534-4445
Fax: (662) 534-9449
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4512 Chapman Hwy, Knoxville, TN 37920-4359 — (865) 577-7779
  • 7688 Oak Ridge Hwy, Knoxville, TN 37931-3335 — (865) 313-2865

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT7718 (MS)
Physical Therapist Taxonomy 225100000X · Licence PT9013 (TN)

Record details

NPI number1063709814
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 30, 2011
Last updated in NPPESMay 30, 2024
Certification dateMay 30, 2024
Mailing address2122 York Rd Ste 300, Oak Brook, IL 60523-1925

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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