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
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
Downtown Physical Therapy and Industrial Center LLC
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151013002003 | LA | Practitioner - Physical Therapist in Private Practice | 6507175593 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09089 | LA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dutchtown Physical Therapy | Physical Therapist | Current |
Accepting new patients |
| Downtown Physical Rehabilitation | Physical Therapist | Current |
Accepting new patients |
| Downtown Physical Therapy and Industrial Center LLC | Physical Therapist | Current |
Accepting new patients |
| Industrial Center of Baton Rouge | Physical Therapist | Past |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Gulf Coast Medical Transport LLC
- Jennifer Hardee
- Megan Catherine Hintz
- Jennifer Batrous Holley
- Denikka Latoya Hull
- Allysia McKenzie James
- Lara-Jeanne Kling
- Christie Klingman
- Leo Paul Leblanc III
- Tina Leslie-Watson
All providers in Geismar, LA · Physical Therapist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.