Jackson Thomas Royster

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P24537

Practice address

19460 Old Jetton Rd Ste 202
Cornelius, NC 28031-6763

Phone

(704) 255-6879

Fax

(704) 255-6881

NPI assigned

Dec 9, 2025

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

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Saylor Physical Therapy Cornelius LLCGroup PAC ID 9133443658, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Saylor Physical Therapy Cornelius LLC

  • Point of Service
  • Cornelius, NC
  • NPI 1215331525
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1765238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1982567590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19460 OLD JETTON RD STE 202",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280316763",
            "telephone_number": "704-255-6879",
            "fax_number": "704-255-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19460 OLD JETTON RD STE 202",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280316763",
            "telephone_number": "704-255-6879",
            "fax_number": "704-255-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYSTER",
        "first_name": "JACKSON",
        "middle_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-09",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": "P24537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard R. Rolle Jr., DDS
• Rooted Family Counseling, PLLC
• Anna Maria Goransdotter Rosenlind, DC
• Kevin Ross, LCMHCA
• Tiffani Ross, CMF
• Lloyd Austin Aaron Runser, MD, MPH, FAAFP
• Shaunna Rushing, LCMHCA
• Marleen Russ
• Sheri Russell, MS, CCC-SLP
• Michael G Ryan, M.D.

• Physical Therapist in Cornelius, NC
• Providers in Cornelius, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; 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.

Verify at the official NPI Registry.