Individual provider · Type 1 NPI

Kayla Mackenzie Jackson, PTA

Physical Therapy Assistant · Columbia, SC

NPI number 1013882778 Active

Practice location

600 Greenlawn Dr Apt 2201
Columbia, SC 29209-0506

Call (803) 477-8663 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA.6931 (SC)

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 …

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About NPI 1013882778

Kayla Mackenzie Jackson, PTA's National Provider Identifier is 1013882778, issued on Oct 10, 2025. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Columbia, SC. The record was last updated on Oct 10, 2025.