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

Nina Jackson, PT

Individual provider Physical Therapist · NPI 1063692531

Nina Jackson, PT is a Physical Therapist in Private Practice in Charlottesville, Virginia. Qualified in 1994, 32 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
32
Licensed in
VA
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

716 Levy Ave
Charlottesville, VA 22902-5730
Phone: (703) 625-1027
Fax: (800) 923-4303
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5690 Three Notched Rd, Crozet, VA 22932-3172 — (434) 823-7628

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305004961 (VA)

Record details

NPI number1063692531
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedNovember 13, 2007
Last updated in NPPESJuly 21, 2022
Mailing address716 Levy Ave, Charlottesville, VA 22902-5730

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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