DR. WAYNE JACKSON DPT
NPI 1104204668
Physical Therapist in Ellicott City, MD

Active since May 15, 2015
10300B BALTIMORE NATIONAL PIKE, ELLICOTT CITY, MD 21042(410) 988-5171(410) 988-5349 Get Directions Write a Review

NPPES record last updated: December 4, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Wayne Jackson Dpt NPPES

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

DR. WAYNE JACKSON DPT (NPI 1104204668) is an individual physical therapist in Ellicott City, Maryland, licensed in Maryland (25338) and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1104204668
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameDR. WAYNE JACKSONCredential: DPT
Location Address10300B BALTIMORE NATIONAL PIKEEllicott City, MD 21042-2128
Mailing Address10300-b Baltimore National PikeEllicott City, MD 21042-2128 · (410) 988-5171 · Fax (410) 988-5349
Fax(410) 988-5349
Sole ProprietorNo
Enumeration DateMay 15, 2015
Last NPPES UpdateDecember 4, 2015
NPI 1104204668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in MD · 25338
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.
10300B BALTIMORE NATIONAL PIKE, Ellicott City, MD 21042

Other Providers at the Same Location NPPES

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

Physical Therapist
10300B BALTIMORE NATIONAL PIKE
ELLICOTT CITY, MD 21042

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 Wayne Jackson's NPI number?

The NPI number for Wayne Jackson is 1104204668. It was assigned to this individual provider in the NPPES registry on May 15, 2015.

Where is Wayne Jackson located?

Wayne Jackson practices at 10300B Baltimore National Pike, Ellicott City, MD 21042. The listed phone number is (410) 988-5171.

What is Wayne 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 Wayne Jackson was last updated on December 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.