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

Joanna Jackson, PT

Individual provider Physical Therapist · NPI 1588217954

Joanna Jackson, PT is a Physical Therapist in Private Practice in Shelby, North Carolina. Qualified in 2019, 7 years ago. Practices with Ivyrehab North Carolina LLC, a 154-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
7
Licensed in
NC
In the registry since
2019
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1129 E Marion St
Shelby, NC 28150-4843
Phone: (704) 471-0001
Fax: (704) 471-0004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1363 Veterans Memorial Hwy Ste 30, Hauppauge, NY 11788-3046 — (631) 622-0150
  • 97 Main St Ste F, Stony Brook, NY 11790 — (631) 751-6680

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence P20023 (NC)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1588217954
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 24, 2019
Last updated in NPPESJuly 14, 2021
Certification dateJuly 14, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Ivyrehab North Carolina Llc — 154 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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