Elizabeth Jackson

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

Legal business name

ELIZABETH JACKSON

Practice address

1446 Harper St
Augusta, GA 30912-0012

Phone

(762) 375-2396

NPI assigned

Jul 24, 2025

Last updated

Sep 23, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elizabeth Jackson, DPTNPI 1720951379

Title

Physical Therapist

Phone

(912) 585-4211

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Jackson

  • Physical Therapist
  • Augusta, GA
  • NPI 1720951379
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1023990561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4304 CANDLEBERRY GDN",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298607203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1446 HARPER ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120012",
            "telephone_number": "762-375-2396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH JACKSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-24",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "912-585-4211",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elephant in the Room Counseling Services, LLC
• Hazem F Elewa, RPH,BCPS
• Ahmed Elhaimer, MD
• Islam Ahmed Shehata Elhelf
• Hany Elia, M.D.
• Elizabeth R. Glaze, LPC, LLC
• Mahmoud A Elkahly
• Beshoy Elkatcha
• Amine Elkhalil, DMD
• Douglas William Ellenberger, OD

• Pediatric Physical Therapist in Augusta, GA
• Providers in Augusta, GA by specialty
• Pediatric Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.