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

Zachary Jackson, PTA

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1497390744

Zachary Jackson, PTA is a Physical Medicine & Rehabilitation Physician in Mountlake Terrace, Washington. Licensed in Washington. Registered with an NPI since 2019.

Licensed in
WA
In the registry since
2019
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

23008 56th Ave W
Mountlake Terrace, WA 98043-4754
Phone: (425) 678-6008
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence P1.60984193 (WA)

Record details

NPI number1497390744
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedNovember 11, 2019
Last updated in NPPESNovember 11, 2019
Mailing address1821 25th Ave E, Seattle, WA 98112-3007

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