Individual provider · Type 1 NPI

Tracy L. Jackson, OT

Physical Therapy Assistant · Boynton Beach, FL

NPI number 1891739868 Active

Practice location

2500 Quantum Lakes Dr, Suite 108
Boynton Beach, FL 33426-8324

Call (561) 244-3627 Map

Fax (561) 244-9627

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X04215 (OH)

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 1891739868

Tracy L. Jackson, OT's National Provider Identifier is 1891739868, issued on Jun 16, 2006. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Boynton Beach, FL. The record was last updated on Jul 13, 2026.