Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jordan Alexa Jackson, PT, DPT, SCS

Individual provider Sports Physical Therapist · NPI 1700579968

Jordan Alexa Jackson, PT, DPT, SCS is a Sports Physical Therapist in Kansas City, Kansas. Practices as a sole proprietor. Licensed in Kansas.

Licensed in
KS
In the registry since
2023
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1801 N 98th St
Kansas City, KS 66111-1869
Phone: (913) 264-3000
Fax: (816) 302-9939
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Physical Therapist (primary) Taxonomy 2251S0007X · Licence 11-07296 (KS)

Record details

NPI number1700579968
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT , SCS
Sole proprietorYes
NPI enumeratedJune 1, 2023
Last updated in NPPESSeptember 25, 2024
Certification dateSeptember 25, 2024