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

Misty Marie Jackson, PTA

Individual provider Physical Therapy Assistant · NPI 1457122012

Misty Marie Jackson, PTA is a Physical Therapy Assistant in Frostburg, Maryland. Licensed in Maryland. Registered with an NPI since 2024.

Licensed in
MD
In the registry since
2024
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

48 Tarn Ter
Frostburg, MD 21532-1242
Phone: (301) 689-1391
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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 A5057 (MD)

Record details

NPI number1457122012
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedJanuary 12, 2024
Last updated in NPPESJanuary 12, 2024
Certification dateJanuary 12, 2024

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