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

Justin Jackson

Individual provider Physical Therapy Assistant · NPI 1013470285

Justin Jackson is a Physical Therapy Assistant in Cordova, South Carolina. Licensed in South Carolina. Registered with an NPI since 2019.

Licensed in
SC
In the registry since
2019
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Practice location Address checks out

22 Eugenia Ct
Cordova, SC 29039-9635
Phone: (803) 707-5824
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 4014 (SC)

Record details

NPI number1013470285
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 12, 2019
Last updated in NPPESApril 12, 2019