Individual provider · Type 1 NPI

Adrian D. Jackson

Physical Therapy Assistant · Milwaukee, WI

NPI number 1649129800 Active

Practice location

3540 S 43rd St
Milwaukee, WI 53220-1502

Call (414) 541-1000 Map

Mailing address

11221 Synergy Dr # A-466
Milwaukee, WI 53222-1353

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X4214-19 (WI)

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 1649129800

Adrian D. Jackson's National Provider Identifier is 1649129800, issued on Jan 22, 2026. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Milwaukee, WI. The record was last updated on Jan 26, 2026.