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

Individual provider Physical Therapist · NPI 1205691169

Jordan Lin Jackson, PT, DPT is a Physical Therapist in Fayetteville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2024.

Licensed in
NC
In the registry since
2024
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

1289 Oliver St
Fayetteville, NC 28304-4450
Phone: (910) 483-8331
Fax: (910) 483-8335
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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 P22913 (NC)

Record details

NPI number1205691169
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedFebruary 19, 2024
Last updated in NPPESFebruary 19, 2024
Certification dateFebruary 19, 2024

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