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

Jackson Killian

Individual provider Physical Therapist · NPI 1053929281

Jackson Killian is a Physical Therapist in Private Practice in Clemson, South Carolina. Qualified in 2020, 6 years ago. Practices with Excel Rehabilitation and Sports, a 53-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
6
Licensed in
SC
In the registry since
2020
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Practice location Address checks out

501 Forest Ln
Clemson, SC 29631-2621
Phone: (864) 654-2001
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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 10299 (SC)

Record details

NPI number1053929281
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 14, 2020
Last updated in NPPESJuly 14, 2020
Certification dateJuly 14, 2020
Mailing address501 Forest Ln, Clemson, SC 29631-2621

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Excel Rehabilitation And Sports — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Clemson