Individual provider · Type 1 NPI

Gina M. Jackson, PTA

Physical Therapy Assistant · Lakeland, FL

NPI number 1619658192 Active

Practice location

716 E Bella Vista St
Lakeland, FL 33805-3009

Other practice locations

  • 2211 28th St NW, Winter Haven, FL 33881-1807 · (863) 683-6504
  • 695 E Summerlin St, Bartow, FL 33830-4848 · (863) 255-8307

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA27269 (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 …

22 other providers at this address

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About NPI 1619658192

Gina M. Jackson, PTA's National Provider Identifier is 1619658192, issued on Jul 27, 2023. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Lakeland, FL. The record was last updated on Jul 27, 2023.