BRANDON TRAVON JACKSON DPT
NPI 1083163521
Physical Therapist in Marietta, GA

Active since September 26, 2016
1395 S MARIETTA PKWY SE STE 212, MARIETTA, GA 30067(770) 615-7900 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jan 31, 2022, Nov 8, 2021, Sep 26, 2016 (3 updates tracked since 2016).

About Brandon Travon Jackson Dpt NPPES

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

BRANDON TRAVON JACKSON DPT (NPI 1083163521) is an individual physical therapist in Marietta, Georgia, licensed in Georgia (PT015749) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1083163521
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameBRANDON TRAVON JACKSONCredential: DPT
Location Address1395 S MARIETTA PKWY SE STE 212Marietta, GA 30067-7832
Mailing Address3360 Ohara Dr NMacon, GA 31206-3832 · (478) 216-8765
Sole ProprietorYes
Enumeration DateSeptember 26, 2016
Last NPPES UpdateOctober 15, 20243 updates tracked since enumeration
NPPES CertifiedOctober 15, 2024
✔ NPI 1083163521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in GA · PT015749
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1395 S MARIETTA PKWY SE STE 212, Marietta, GA 30067

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Urgent Care)
1395 S MARIETTA PKWY SE STE 212
MARIETTA, GA 30067
Clinic/Center (Occupational Medicine)
1395 S MARIETTA PKWY SE STE 212
MARIETTA, GA 30067

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 Brandon Jackson's NPI number?

The NPI number for Brandon Jackson is 1083163521. It was assigned to this individual provider in the NPPES registry on September 26, 2016.

Where is Brandon Jackson located?

Brandon Jackson practices at 1395 S Marietta Pkwy SE Ste 212, Marietta, GA 30067. The listed phone number is (770) 615-7900.

What is Brandon Jackson's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

When was this NPI record last updated?

The NPPES record for Brandon Jackson was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.