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

Ty Alan Jackson, PTA

Individual provider Physical Therapy Assistant · NPI 1679236871

Ty Alan Jackson, PTA is a Physical Therapy Assistant in Durant, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2021.

Licensed in
OK
In the registry since
2021
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

1801 Chukka Hina
Durant, OK 74701-7117
Phone: (580) 920-2100
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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 3010 (OK)

Record details

NPI number1679236871
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedOctober 15, 2021
Last updated in NPPESOctober 15, 2021
Certification dateOctober 15, 2021
Mailing address5450 Roadrunner Dr, Durant, OK 74701-2451

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