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

Latonya Jackson, DPT

Individual provider Physical Therapist · NPI 1760984579

Latonya Jackson, DPT is a Physical Therapist in Private Practice in Bandera, Texas. Qualified in 2017, 9 years ago. Practices with Momentum Physical and Sports Rehabilitation Limited Partnership, a 52-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
9
Licensed in
TX
In the registry since
2018
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

3456 Hwy 16 S
Bandera, TX 78003
Phone: (830) 796-3447
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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 1301249 (TX)

Record details

NPI number1760984579
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedMarch 7, 2018
Last updated in NPPESMarch 7, 2018
Mailing address3456 Hwy 16 South, Bandera, TX 78003

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Momentum Physical And Sports Rehabilitation Limited Partnership — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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