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

Jaynon Jackson

Individual provider Physical Therapist · NPI 1073442067

Jaynon Jackson is a Physical Therapist in Private Practice in Live Oak, Texas. Qualified in 2025, 1 year ago. Practices with Sports Medicine Associates of San Antonio PA, a 55-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
1
Licensed in
TX
In the registry since
2026
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Practice location Address checks out

12500 Judson Rd Ste 201
Live Oak, TX 78233-4146
Phone: (210) 314-1071
Fax: (210) 314-1802
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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 1408268 (TX)

Record details

NPI number1073442067
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 15, 2026
Last updated in NPPESMay 15, 2026
Certification dateMay 15, 2026
Mailing address1650 Lyndon Farm Ct Ste 300, Louisville, KY 40223-5005

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Sports Medicine Associates Of San Antonio Pa — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Live Oak