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

Jacob Jackson

Individual provider Physical Therapist · NPI 1902661838

Jacob Jackson is a Physical Therapist in Private Practice in Easley, South Carolina. Qualified in 2023, 3 years ago. Practices with Physical Therapy at Dawn LLC, a 31-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

838 Powdersville Rd Ste T
Easley, SC 29642-3703
Phone: (864) 671-1650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1312 W Arch Haven Ave Ste E, Bloomington, IN 47403-2088 — (812) 336-8406
  • 6842 Race Track Rd Ste B, Bowie, MD 20715-3011 — (240) 544-0200

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Physical Therapist Taxonomy 225100000X · Licence PT43269 (FL)

Record details

NPI number1902661838
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 20, 2024
Last updated in NPPESJuly 10, 2025
Certification dateJuly 10, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Physical Therapy At Dawn Llc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Easley