MICHELLE DIANNE JACKSON PT
NPI 1235263963
Physical Therapist in Largo, MD

Active since March 15, 2007
1221 MERCANTILE LN, LARGO, MD 20774(301) 618-5552(301) 816-7170 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michelle Dianne Jackson Pt NPPES

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

MICHELLE DIANNE JACKSON PT (NPI 1235263963) is an individual physical therapist in Largo, Maryland, licensed in Maryland (15783) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1235263963
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMICHELLE DIANNE JACKSONCredential: PT
Location Address1221 MERCANTILE LNLargo, MD 20774-5374
Mailing Address2101 E Jefferson St, Kaiser Permanente Attn:sanjay Mathur 3 W Data Mnmgt DptRockville, MD 20852-4908 · (301) 816-7446 · Fax (301) 816-7170
Fax(301) 816-7170
Sole ProprietorNo
Enumeration DateMarch 15, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1235263963 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 · 15783
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.
1221 MERCANTILE LN, Largo, MD 20774

Other Providers at the Same Location NPPES 20

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

Psychiatry & Neurology (Psychiatry)
1221 MERCANTILE LN
LARGO, MD 20774
Anesthesiology
1221 MERCANTILE LN
UPPER MARLBORO, MD 20774
Internal Medicine
1221 MERCANTILE LN, KAISER PERMANENTE LARGO MEDICAL CENTER
LARGO, MD 20774
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1221 MERCANTILE LN, DEPT OF OBGYN
LARGO, MD 20774
Anesthesiology
1221 MERCANTILE LN
UPPER MARLBORO, MD 20774
Physician Assistant
1221 MERCANTILE LN, KAISER PERMANENTE LARGO MEDICAL CENTER
LARGO, MD 20774
Urology
1221 MERCANTILE LN, KAISER PERMANENTE DEPARTMENT OF UROLOGY
LARGO, MD 20774
Obstetrics & Gynecology
1221 MERCANTILE LN
UPPER MARLBORO, MD 20774

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 Michelle Jackson's NPI number?

The NPI number for Michelle Jackson is 1235263963. It was assigned to this individual provider in the NPPES registry on March 15, 2007.

Where is Michelle Jackson located?

Michelle Jackson practices at 1221 Mercantile Ln, Largo, MD 20774. The listed phone number is (301) 618-5552.

What is Michelle 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 Michelle Jackson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.