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

Tiye Jackson, PTA

Individual provider Physical Therapy Assistant · NPI 1669151841

Tiye Jackson, PTA is a Physical Therapy Assistant in Melbourne, Florida. Licensed in Florida. Registered with an NPI since 2023.

Licensed in
FL
In the registry since
2023
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

3680 N Wickham Rd
Melbourne, FL 32935-2337
Phone: (321) 255-5500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 32771 (FL)

Record details

NPI number1669151841
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedJuly 14, 2023
Last updated in NPPESJuly 14, 2023
Certification dateJuly 14, 2023
Mailing address5513 Winter Garden Pkwy, Fort Pierce, FL 34951-2054

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