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

Tawana T Jackson, PT, DPT

Individual provider Physical Therapist · NPI 1083392252

Tawana T Jackson, PT, DPT is a Physical Therapist in Private Practice in Bronx, New York. Qualified in 2013, 13 years ago. Practices with Theraworks Inc, a 39-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
13
Licensed in
TX
In the registry since
2023
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1250 Waters Pl
Bronx, NY 10461-2720
Phone: (718) 409-9444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 605 Rockmead Dr Ste 200, Kingwood, TX 77339-2255 — (281) 348-9588

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1378139 (TX)

Record details

NPI number1083392252
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedJuly 7, 2023
Last updated in NPPESMay 2, 2024
Certification dateMay 2, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Theraworks Inc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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