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

Jackson Tobin Cavanaugh, DPT

Individual provider Physical Therapist · NPI 1306513841

Jackson Tobin Cavanaugh, DPT is a Physical Therapist in Private Practice in Gastonia, North Carolina. Qualified in 2021, 5 years ago. Practices with Fox Rehab PT Nc LLC, a 40-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana and North Carolina.

Years since qualifying
5
Licensed in
IN, NC
In the registry since
2021
Specialties on file
2
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

2555 Court Dr Ste 400
Gastonia, NC 28054-2180
Phone: (704) 864-5550
Fax: (704) 864-5550
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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 CP022613T (NC)
Physical Therapist Taxonomy 225100000X · Licence 05014254A (IN)

Record details

NPI number1306513841
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 24, 2021
Last updated in NPPESDecember 16, 2024
Certification dateDecember 16, 2024

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 Fox Rehab Pt Nc Llc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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