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

Mr. Thomas Eugene Jackson, PT

Individual provider Physical Therapist · NPI 1790979292

Mr. Thomas Eugene Jackson, PT is a Physical Therapist in Azusa, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

830 S Citrus Ave Ste 203
Azusa, CA 91702
Phone: (626) 339-6514
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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 9248 (CA)

Record details

NPI number1790979292
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 28, 2007
Last updated in NPPESAugust 30, 2007
Mailing address1327 Mountain View Ave, South Pasadena, CA 91030-3607

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