Individual provider · Type 1 NPI

Yoko Hirose Jackson, P.T.A

Physical Therapy Assistant · Riverview, FL

NPI number 1366803892 Active

Practice location

11625 Mandevilla View Way
Riverview, FL 33579-1819

Call (727) 518-5177 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA25045 (FL)

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 1366803892

Yoko Hirose Jackson, P.T.A's National Provider Identifier is 1366803892, issued on Mar 10, 2016. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Riverview, FL. The record was last updated on Sep 29, 2026.