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JACKSON PHYSICAL THERAPY AND SPORTS MEDICINE
NPI 1205266764
Physical Therapist - Sports in Las Vegas, NV

Active since November 20, 2013
4765 S DURANGO DR, SUITE 106, LAS VEGAS, NV 89147(702) 898-7633(702) 898-6433 Get Directions Write a Review

NPPES record last updated: May 2, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jackson Physical Therapy And Sports Medicine NPPES

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

JACKSON PHYSICAL THERAPY AND SPORTS MEDICINE (NPI 1205266764) is a healthcare organization registered as a sports in Las Vegas, Nevada and active in the NPI registry since November 2013. The organization lists Brandon L Jackson, Physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1205266764
Entity TypeOrganization
Primary Taxonomy2251S0007X
Legal Business NameBRANDON JACKSON PT
Location Address4765 S DURANGO DR, SUITE 106Las Vegas, NV 89147-8145
Mailing Address4765 S Durango Dr, Suite 106Las Vegas, NV 89147-8145 · (702) 898-7633 · Fax (702) 898-6433
Phone(702) 898-7633
Fax(702) 898-6433
Organization SubpartNo
Authorized OfficialBrandon L JacksonPhysical Therapist · (702) 845-1386
Enumeration DateNovember 20, 2013
Last NPPES UpdateMay 2, 2014
✔ NPI 1205266764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251S0007X
License✔ Licensed in NV · 1365
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
4765 S DURANGO DR, Las Vegas, NV 89147
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Other Names 1

Doing Business AsJackson Physical Therapy And Sports Medicine

Other Identifiers 2

Medicaid1487682076NV
Medicare PINV36322NV

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

BRANDON K RICHARDS PT
Physical Therapist
4765 S DURANGO DR, 106
LAS VEGAS, NV 89147
Clark County (702) 898-7633
REBECCA L PRIVITT PT
Clinic/Center (Physical Therapy)
4765 S DURANGO DR, SUITE #106
LAS VEGAS, NV 89147
Clark County (702) 898-7633
BRIDGET ANN HOLDAR MS PT
Physical Therapist
4765 S DURANGO DR, SUITE #106
LAS VEGAS, NV 89147
Clark County (702) 898-7633
DR. WILLIAM G. ROBISON D.D.S.
Dentist (General Practice)
4765 S DURANGO DR, SUITE #100
LAS VEGAS, NV 89147
Clark County (702) 384-5070

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 Pt's NPI number?

The NPI number for Brandon Jackson Pt is 1205266764. It was assigned to this organization in the NPPES registry on November 20, 2013. The provider is doing business as Jackson Physical Therapy And Sports Medicine.

Where is Brandon Jackson Pt located?

Brandon Jackson Pt is located at 4765 S Durango Dr Suite 106, Las Vegas, NV 89147. The listed phone number is (702) 898-7633.

What is Brandon Jackson Pt's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

When was this NPI record last updated?

The NPPES record for Brandon Jackson Pt was last updated on May 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.