Individual provider · Type 1 NPI

Shannon Jackson, PTA

Physical Therapy Assistant · Newport News, VA

NPI number 1407411366 Active

Practice location

730 Thimble Shoals Blvd Ste 130
Newport News, VA 23606-4562

Call (757) 873-1554 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2306605329 (VA)

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 1407411366

Shannon Jackson, PTA's National Provider Identifier is 1407411366, issued on May 7, 2019. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Newport News, VA. The record was last updated on May 7, 2019.