Active NPI
Jason Jackson, P.T.
- Physical Therapist
- Pearland, TX
National Provider Identifier
1932374428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1131571
- Practice address
- 2631 Cottage Creek Dr
Pearland, TX 77584-9801 - Phone
- (713) 854-2714
- NPI assigned
- Apr 25, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 1131571 | TX | Primary |
Addresses
Primary practice location
2631 Cottage Creek Dr
Pearland, TX 77584-9801
Mailing address
2631 Cottage Creek Dr
Pearland, TX 77584-9801
Phone (713) 854-2714
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263513600000",
"number": "1932374428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2631 COTTAGE CREEK DR",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775849801",
"telephone_number": "713-854-2714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2631 COTTAGE CREEK DR",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775849801",
"telephone_number": "713-854-2714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "JASON",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-25",
"last_updated": "2010-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1131571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.