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

Samuel Richardson Jackson

Individual provider Physical Therapist · NPI 1588204721

Samuel Richardson Jackson is a Physical Therapist in Chester, Virginia. Works from 2 locations. Licensed in North Carolina and Virginia.

Licensed in
NC, VA
In the registry since
2020
Specialties on file
2

Practice location Address checks out

10438 Iron Bridge Rd
Chester, VA 23831-1427
Phone: (804) 796-1518
Show map & directions

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

Additional practice locations (1)

  • 101 Manning Dr, Chapel Hill, NC 27514-4220 — (984) 974-1000

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence P20566 (NC)
Physical Therapist Taxonomy 225100000X · Licence 2305213383 (VA)

Record details

NPI number1588204721
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 15, 2020
Last updated in NPPESSeptember 21, 2021
Certification dateSeptember 21, 2021
Mailing address9101 Stony Point Pkwy Apt 1140, Richmond, VA 23235-2059

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