Barry A Jackson, MS, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1070471 Issued in TX

Practice address

8601 Village Dr
Suite #220
San Antonio, TX 78217-5512

Phone

(210) 599-2030

Fax

(210) 590-0639

NPI assigned

Feb 22, 2008

Last updated

Feb 22, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203638400000",
    "number": "1669641742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8601 VILLAGE DR",
            "address_2": "SUITE #220",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175512",
            "telephone_number": "210-599-2030",
            "fax_number": "210-590-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 VILLAGE DR",
            "address_2": "SUITE #220",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175512",
            "telephone_number": "210-599-2030",
            "fax_number": "210-590-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "BARRY",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MS, MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-22",
        "last_updated": "2008-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1070471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Jackson
• Amy Fay Jackson, RN, FNP-C
• Amy Lee Jackson, LVN
• Angel Jackson, PMHNP
• Bailie Shanae Jackson, MD
• Bruce Jackson III
• Carlayne E Jackson, M.D.
• Carolyn L Jackson, CRNA
• Casey Nicole Jackson, COTA
• Cassandra Leigh Jackson, PT, DPT

• Physical Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; 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.