Individual provider · Type 1 NPI

Herman L. Jackson, PTA

Physical Therapy Assistant · New York City, NY

NPI number 1013423391 Active

Practice location

Physical Therapy Of Harlem 1400 5th Ave
New York City, NY 10026

Fax (212) 996-9686

Mailing address

24 E 109th St Apt 1A
New York, NY 10029-3472

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X008098 (NY)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

About NPI 1013423391

Herman L. Jackson, PTA's National Provider Identifier is 1013423391, issued on Dec 21, 2017. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in New York City, NY. The record was last updated on Dec 21, 2017.