Owen Mejeur Jackson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305218047 Issued in VA

Practice address

3020 Hamaker CT Ste 100
Fairfax, VA 22031-2233

Phone

(703) 844-8599

Fax

(703) 844-8594

NPI assigned

Jun 17, 2024

Last updated

Sep 24, 2026By 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 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

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.

• Atlas Physical Therapy Limited Partnership

  • Physical Therapist
  • Denver, CO
  • NPI 1609558311
  Medicare reassignment NPD
• Integral Physical Therapy LLC

  dba Integral Physical Therapy

  • Physical Medicine & Rehabilitation Physician
  • Firestone, CO
  • NPI 1891151627
  Medicare reassignment

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1770326860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 W MINERAL AVE STE 116A",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801204510",
            "telephone_number": "303-798-5602",
            "fax_number": "303-798-5743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 HAMAKER CT STE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312233",
            "telephone_number": "703-844-8599",
            "fax_number": "703-844-8594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10503 W Thunderbird Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Sun City",
            "state": "AZ",
            "postal_code": "853512746",
            "country_code": "US",
            "telephone_number": "623-888-3370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "151 W Mineral Ave Ste 116A",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801204510",
            "country_code": "US",
            "telephone_number": "303-798-5602",
            "fax_number": "303-798-5743",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4299 Chantilly Shopping Center Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Chantilly",
            "state": "VA",
            "postal_code": "201514025",
            "country_code": "US",
            "telephone_number": "703-844-0690",
            "fax_number": "703-782-9379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "OWEN",
        "middle_name": "MEJEUR",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-17",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305218047",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0019957",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "CP048718T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Marie Jackson
• Kenneth William Jackson, MD
• Keshonna Jackson
• Linda Jackson
• Megan Nicole Jackson
• Simajah Dominique Jackson, LCSW
• Jacob T Joseph MD PC
• Allyson Jacobi
• David Alan Jacobs, LPC
• Deana Jacobs, LCPC, CCTP

• Physical Therapist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.