Individual provider · Type 1 NPI

Samuel Collins Jackson, DPT

Physical Therapist · Greenville, SC

NPI number 1811511199 Active

Practice location

104 Mauldin Rd Ste B
Greenville, SC 29605-1221

Call (864) 214-6680 Map

Fax (864) 309-8043

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X10222 (SC)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1811511199

Samuel Collins Jackson, DPT's National Provider Identifier is 1811511199, issued on Jun 3, 2020. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Greenville, SC. The record was last updated on Jun 2, 2026.