Lynn C Jackson, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1113850 Issued in TX

Practice address

6012 W William Cannon Dr
BLDG C
Austin, TX 78749-1980

Phone

(512) 899-8508

Fax

(512) 899-9387

NPI assigned

Sep 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lynn Jackson, PT, PC

  • Physical Therapist
  • Austin, TX
  • NPI 1871779256
  Authorized official Same address or phone
• Spero Rehabilitation LLC

  • Physical Therapist
  • Katy, TX
  • NPI 1720227788
  NPD

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689779522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91419",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787091419",
            "telephone_number": "512-899-8508",
            "fax_number": "512-899-9387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6012 W WILLIAM CANNON DR",
            "address_2": "BLDG C",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787491980",
            "telephone_number": "512-899-8508",
            "fax_number": "512-899-9387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "LYNN",
        "middle_name": "C",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1113850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "659558",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keri Michelle Jackson, P.T.
• Kimberly Jackson, LCSW
• Ladaun Jackson, M.A., CCC-SLP
• Lauretta E Jackson, PT
• Lisa G Jackson, R.PH.
• Margerae R Jackson, LPC
• Maria D Jackson, LMFT, LPC
• Melanie Jackson, RN
• Melissa Jackson, LVN
• Mia Nicole Jackson

• Physical Therapist in Austin, TX
• Providers in Austin, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.