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

Mr. Shawn E Jackson, PT

Individual provider Physical Therapist · NPI 1053577825

Mr. Shawn E Jackson, PT is a Physical Therapist in Green Bay, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2008
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Practice location Address checks out

2701 Larsen Rd Ste 111
Green Bay, WI 54303-4863
Phone: (920) 883-2284
Fax: (920) 884-1026
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence #4899-024 (WI)

Record details

NPI number1053577825
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedJuly 31, 2008
Last updated in NPPESMay 21, 2015

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