JOHN JACKSON
NPI 1063073310
Speech-Language Pathologist in Maitland, FL

Q: What is John Jackson's NPI number?

The NPI number for John Jackson is 1063073310. It was assigned to this individual provider in the NPPES registry on June 27, 2019.

Q: What is John Jackson's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for John Jackson was last updated on April 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 27, 2019

2143 MOHAWK TRL, MAITLAND, FL 32751(407) 782-5219 Get Directions Write a Review

NPPES record last updated: April 15, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About John Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN JACKSON (NPI 1063073310) is an individual speech-language pathologist provider in Maitland, Florida, licensed in Massachusetts (77541) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1063073310

Entity TypeIndividualMale

Primary Taxonomy235Z00000X

Provider Legal NameJOHN JACKSON

Location Address2143 MOHAWK TRLMaitland, FL 32751-3950

Mailing Address2143 Mohawk TrlMaitland, FL 32751-3950 · (407) 782-5219

Phone(407) 782-5219

Sole ProprietorYes

Enumeration DateJune 27, 2019

Last NPPES UpdateApril 15, 2020

NPPES CertifiedApril 15, 2020

✔ NPI 1063073310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in MA · 77541

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

2143 MOHAWK TRL, Maitland, FL 32751

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Jackson's NPI number?

The NPI number for John Jackson is 1063073310. It was assigned to this individual provider in the NPPES registry on June 27, 2019.

Where is John Jackson located?

John Jackson practices at 2143 Mohawk Trl, Maitland, FL 32751. The listed phone number is (407) 782-5219.

What is John Jackson's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for John Jackson was last updated on April 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.