ETHAN GAINOR JACKSON PT, DPT
NPI 1891210456
Physical Therapist in Lawrenceville, GA

Active since August 04, 2017
455 PHILIP BLVD BLDG 100-160, LAWRENCEVILLE, GA 30046(678) 985-0238(678) 985-0136 Get Directions Write a Review

NPPES record last updated: August 4, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ethan Gainor Jackson Pt, Dpt NPPES

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

ETHAN GAINOR JACKSON PT, DPT (NPI 1891210456) is an individual physical therapist in Lawrenceville, Georgia, licensed in Georgia (PT013032) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1891210456
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameETHAN GAINOR JACKSONCredential: PT, DPT
Location Address455 PHILIP BLVD BLDG 100-160Lawrenceville, GA 30046-8767
Mailing Address6397 Lee Hwy Ste 300Chattanooga, TN 37421-2564 · (423) 238-7217 · Fax (423) 362-8684
Fax(678) 985-0136
Sole ProprietorNo
Enumeration DateAugust 4, 2017
NPI 1891210456 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 GA · PT013032
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:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>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.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>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.

455 PHILIP BLVD BLDG 100-160, Lawrenceville, GA 30046

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%32 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 6

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

Occupational Therapist
455 PHILIP BLVD BLDG 100-160
LAWRENCEVILLE, GA 30046
Physical Therapist
455 PHILIP BLVD BLDG 100-160
LAWRENCEVILLE, GA 30046
Physical Therapist
455 PHILIP BLVD BLDG 100-160
LAWRENCEVILLE, GA 30046
Physical Therapist
455 PHILIP BLVD BLDG 100-160
LAWRENCEVILLE, GA 30046
Physical Therapist
455 PHILIP BLVD BLDG 100-160
LAWRENCEVILLE, GA 30046
Physical Therapist
455 PHILIP BLVD BLDG 100-160
LAWRENCEVILLE, GA 30046

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 Ethan Jackson's NPI number?

The NPI number for Ethan Jackson is 1891210456. It was assigned to this individual provider in the NPPES registry on August 4, 2017.

Where is Ethan Jackson located?

Ethan Jackson practices at 455 Philip Blvd Bldg 100-160, Lawrenceville, GA 30046. The listed phone number is (678) 985-0238.

What is Ethan 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 Ethan Jackson was last updated on August 4, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.