Active NPI
David Andrew Jackson, P.T.
- Physical Therapist
- Sellersburg, IN
National Provider Identifier
1679547269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05002999
- Practice address
- 326 N Indiana Ave
Sellersburg, IN 47172-1223 - Phone
- (812) 246-8975
- Fax
- (812) 246-8977
- NPI assigned
- Feb 13, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05002999 | IN | Primary |
Addresses
Primary practice location
326 N Indiana Ave
Sellersburg, IN 47172-1223
Mailing address
326 N Indiana Ave
Sellersburg, IN 47172-1223
Phone (812) 246-8975
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000042777 | Other | IN | ANTHEM PIN # |
| 64-00191 | Other | IN | UHC PIN # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1991
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
326 N Indiana Ave
Sellersburg, IN 47172-1223
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05002999 | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson Physical Therapy & Associates, Inc | Physical Therapist | Current | Accepting new patients |
Locations
326 N Indiana Ave
Sellersburg, IN 47172
Phone (812) 227-6230
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Sellersburg, IN
- NPI 1972850238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1679547269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "326 N INDIANA AVE",
"city": "SELLERSBURG",
"state": "IN",
"postal_code": "471721223",
"telephone_number": "812-246-8975",
"fax_number": "812-246-8977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 N INDIANA AVE",
"city": "SELLERSBURG",
"state": "IN",
"postal_code": "471721223",
"telephone_number": "812-246-8975",
"fax_number": "812-246-8977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "DAVID",
"middle_name": "ANDREW",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-13",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05002999",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN #",
"identifier": "000000042777",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC PIN #",
"identifier": "64-00191",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sellersburg, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.