Stephen Jackson, PT, DPT

Individual provider Active NPI Physical Therapist · Geismar, LA

NPI 1275918401 · NPPES record last updated Jan 20, 2026

Key facts

NPI
1275918401
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
09089 (LA)
Practice address
13053 Hwy. 73
Ste. B
Geismar, LA 70734-3021
Phone
(225) 744-3631
Fax
(225) 744-3647
NPI assigned
Jul 29, 2015
Sex
Male
Sole proprietor
No

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dutchtown Physical Therapy (2 clinicians)
Downtown Physical Therapy and Industrial Center LLC (5 clinicians)

Practice addresses (Care Compare)

13053 Hwy 73
Suite B
Geismar, LA 70734-3021
Phone (225) 744-3631

16645 Highland Rd
Suite L
Baton Rouge, LA 70810-6567
Phone (225) 756-2722

Medicare participation

Medicare fee-for-service enrollment
Enrolled in LA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20151013002003 LA Practitioner - Physical Therapist in Private Practice 6507175593 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
09089LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dutchtown Physical Therapy Physical Therapist Current
since Jul 31, 2015
Accepting new patients
Downtown Physical Rehabilitation Physical Therapist Current
since Oct 3, 2015
Accepting new patients
Downtown Physical Therapy and Industrial Center LLC Physical Therapist Current
since Jul 29, 2015
Accepting new patients
Industrial Center of Baton Rouge Physical Therapist Past
since Oct 11, 2020
Accepting new patients

Locations

160 N 8th St
Baton Rouge, LA 70802
Phone (225) 383-5021

16645 Highland Rd
Ste L
Baton Rouge, LA 70810
Phone (225) 753-5011

13053 Highway 73
#B
Geismar, LA 70734
Phone (225) 744-3631

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 09089 LA Yes

Addresses

Primary practice location

13053 Hwy. 73
Ste. B
Geismar, LA 70734-3021

Mailing address

13053 Hwy. 73
Ste. B
Geismar, LA 70734-3021
Phone (225) 744-3631

Other providers in Geismar, LA

All providers in Geismar, LA · Physical Therapist in Louisiana

Sources for this page

Verify at the official NPI Registry.