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

Jackson Oldham Ballard, DPT

Individual provider Physical Therapist · NPI 1225884349

Jackson Oldham Ballard, DPT is a Physical Therapist in Concord, North Carolina. Licensed in North Carolina. Registered with an NPI since 2024.

Licensed in
NC
In the registry since
2024
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

487 Lake Concord Rd NE
Concord, NC 28025-2934
Phone: (704) 403-0200
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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 P23015 (NC)

Record details

NPI number1225884349
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedApril 29, 2024
Last updated in NPPESApril 29, 2024
Certification dateApril 29, 2024
Mailing address6419 Cedar Croft Dr, Charlotte, NC 28270-0301

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