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

Mr. Jacob S Jackson, DPT

Individual provider Physical Therapist · NPI 1982162905

Mr. Jacob S Jackson, DPT is a Physical Therapist in Mount Vernon, Illinois. Licensed in Illinois. Registered with an NPI since 2019.

Licensed in
IL
In the registry since
2019
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

4110 S Water Tower Pl
Mount Vernon, IL 62864-6544
Phone: (618) 242-1100
Fax: (618) 244-5148
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070024163 (IL)

Record details

NPI number1982162905
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMarch 8, 2019
Last updated in NPPESMarch 8, 2019
Mailing address4110 S Water Tower Pl, Mount Vernon, IL 62864-6544

Other providers in Mount Vernon