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

Individual provider Physical Therapist · NPI 1487948154

Miss. Tracie Lashelle Jackson, PT, DPT is a Physical Therapist in Baton Rouge, Louisiana. Licensed in Georgia and Louisiana. Registered with an NPI since 2011.

Licensed in
GA, LA
In the registry since
2011
Specialties on file
3
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

10101 Park Rowe Ave Ste 200
Baton Rouge, LA 70810-1686
Phone: (225) 769-2200
Fax: (225) 768-2185
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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 08369R (LA)
Physical Therapist Taxonomy 225100000X
Physical Therapist Taxonomy 225100000X · Licence 010349 (GA)

Record details

NPI number1487948154
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedMay 31, 2011
Last updated in NPPESMarch 19, 2014

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