BRIAN JEFFREY JACKSON CO, AT
NPI 1134636921
Orthotist in Saint Paul, MN

Active since January 03, 2018
1600 UNIVERSITY AVE W STE 10, SAINT PAUL, MN 55104(651) 646-7246(651) 641-0726 Get Directions Write a Review

NPPES record last updated: January 3, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brian Jeffrey Jackson Co, At NPPES

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

BRIAN JEFFREY JACKSON CO, AT (NPI 1134636921) is an individual orthotist provider in Saint Paul, Minnesota and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1134636921
Entity TypeIndividualMale
Primary Taxonomy222Z00000X
Provider Legal NameBRIAN JEFFREY JACKSONCredential: CO, AT
Location Address1600 UNIVERSITY AVE W STE 10Saint Paul, MN 55104-3898
Mailing Address1258 Galtier StSaint Paul, MN 55117-4456 · (651) 260-5993
Fax(651) 641-0726
Sole ProprietorNo
Enumeration DateJanuary 3, 2018
NPI 1134636921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthotistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code222Z00000X
Definition
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
1600 UNIVERSITY AVE W STE 10, Saint Paul, MN 55104

Other Providers at the Same Location NPPES 8

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

Physical Therapist
1600 UNIVERSITY AVE W STE 10
SAINT PAUL, MN 55104
Occupational Therapist
1600 UNIVERSITY AVE W STE 10
SAINT PAUL, MN 55104
Massage Therapist
1600 UNIVERSITY AVE W STE 10
SAINT PAUL, MN 55104
Massage Therapist
1600 UNIVERSITY AVE W STE 10
SAINT PAUL, MN 55104
Physical Medicine & Rehabilitation
1600 UNIVERSITY AVE W STE 10
SAINT PAUL, MN 55104
Occupational Therapist
1600 UNIVERSITY AVE W STE 10
SAINT PAUL, MN 55104
Clinic/Center
1600 UNIVERSITY AVE W STE 10
SAINT PAUL, MN 55104
Massage Therapist
1600 UNIVERSITY AVE W STE 10
SAINT PAUL, MN 55104

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 Brian Jackson's NPI number?

The NPI number for Brian Jackson is 1134636921. It was assigned to this individual provider in the NPPES registry on January 3, 2018.

Where is Brian Jackson located?

Brian Jackson practices at 1600 University Ave W Ste 10, Saint Paul, MN 55104. The listed phone number is (651) 646-7246.

What is Brian Jackson's specialty?

The primary specialty registered for this NPI is Orthotist with taxonomy code 222Z00000X.

When was this NPI record last updated?

The NPPES record for Brian Jackson was last updated on January 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.