Katie Jackson, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH12449 Issued in AL

Practice address

2613 Pepperell Pkwy
Opelika, AL 36801-6121

Phone

(706) 341-3641

NPI assigned

Sep 22, 2025

Last updated

Sep 22, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Community Rehab and Performance

  • Physical Therapist
  • Auburn, AL
  • NPI 1144815382
  NPD (past)

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

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1982576773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1848 QUAIL HOLW",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368302557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2613 PEPPERELL PKWY",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368016121",
            "telephone_number": "706-341-3641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "472 N Dean Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "AL",
            "postal_code": "368305090",
            "country_code": "US",
            "telephone_number": "334-209-1199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "KATIE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-22",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH12449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Internal Medicine Associates P.C.
• Internal Medicine Lab.
• Emily Spain Ireland, DO
• Isi Therapeutic Family Services, LLC
• Emily Jackson, CRNP
• Kevin Lee Jackson, MD
• Omayra Jackson, ALC
• Alexandrea Cool Jager, MD
• James B. Leonard, DMD, LLC
• James P. Hannahan, D.M.D., P.C.

• Physical Therapist in Opelika, AL
• Providers in Opelika, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.