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

Zachary Bradley Jackson, DPT

Individual provider Physical Therapist · NPI 1205320405

Zachary Bradley Jackson, DPT is a Physical Therapist in Las Cruces, New Mexico. Practices as a sole proprietor and works from 2 locations. Licensed in New Mexico and Virginia.

Licensed in
NM, VA
In the registry since
2018
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

2205 S Main St
Las Cruces, NM 88005-3113
Phone: (575) 652-3515
Fax: (575) 652-3518
Show map & directions

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

Additional practice locations (1)

  • 801 W Ann Arbor Trl Ste 220, Plymouth, MI 48170-6224 — (866) 991-0900

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT5353 (NM)
Physical Therapist Taxonomy 225100000X · Licence 2305212070 (VA)

Record details

NPI number1205320405
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedJune 20, 2018
Last updated in NPPESSeptember 12, 2018

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