DR. CHAD WILLIAM JACKSON PT, DPT, OCS
NPI 1710177142
Physical Therapist - Orthopedic in Maryville, MO

Q: What is Chad Jackson's NPI number?

The NPI number for Chad Jackson is 1710177142. It was assigned to this individual provider in the NPPES registry on August 1, 2007.

Q: What is Chad Jackson's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Q: When was this NPI record last updated?

The NPPES record for Chad Jackson was last updated on August 1, 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.

Active since August 01, 2007

822 S WALNUT ST, MARYVILLE, MO 64468(660) 562-2705(660) 562-7967 Get Directions Write a Review

NPPES record last updated: August 1, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Chad William Jackson Pt, Dpt, Ocs NPPES

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

DR. CHAD WILLIAM JACKSON PT, DPT, OCS (NPI 1710177142) is an individual orthopedic provider in Maryville, Missouri, licensed in Missouri (2001019379) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1710177142

Entity TypeIndividualMale

Primary Taxonomy2251X0800X

Provider Legal NameDR. CHAD WILLIAM JACKSONCredential: PT, DPT, OCS

Location Address822 S WALNUT STMaryville, MO 64468-2565

Mailing Address822 S Walnut StMaryville, MO 64468-2565 · (660) 562-2705 · Fax (660) 562-7967

Phone(660) 562-2705

Fax(660) 562-7967

Sole ProprietorNo

Enumeration DateAugust 1, 2007

✔ NPI 1710177142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251X0800X

License✔ Licensed in MO · 2001019379

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

822 S WALNUT ST, Maryville, MO 64468

Open in Google Maps ↗

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 Chad Jackson's NPI number?

The NPI number for Chad Jackson is 1710177142. It was assigned to this individual provider in the NPPES registry on August 1, 2007.

Where is Chad Jackson located?

Chad Jackson practices at 822 S Walnut St, Maryville, MO 64468. The listed phone number is (660) 562-2705.

What is Chad Jackson's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

When was this NPI record last updated?

The NPPES record for Chad Jackson was last updated on August 1, 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.