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

Thomas Edward Jackson, PT

Individual provider Physical Therapist · NPI 1760861637

Thomas Edward Jackson, PT is a Physical Therapist in Private Practice in Dacula, Georgia. Graduated from Medical University of South Carolina College of Medicine in 2015, 11 years ago. Practices with Independent Physical Therapy of Georgia LLC, a 529-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
11
Trained at
Medical University of South Carolina College of Medicine
Licensed in
GA
In the registry since
2015
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

3625 Braselton Hwy Ste 204
Dacula, GA 30019-1014
Phone: (770) 932-9521
Fax: (770) 932-9523
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (GA)

Record details

NPI number1760861637
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 26, 2015
Last updated in NPPESMay 26, 2015
Mailing address8823 Production Ln, Ooltewah, TN 37363-6511

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Independent Physical Therapy Of Georgia Llc — 529 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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