Individual provider · Type 1 NPI

Johnetta Jackson, PTA

Physical Therapy Assistant · Bethesda, MD

NPI number 1992149066 Active

Practice location

8901 Wisconsin Ave
Bethesda, MD 20889-8402

Call (301) 295-8842 Map

Mailing address

9701 Medical Center Dr
Rockville, MD 20850-3326

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XA2691 (MD)

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 1992149066

Johnetta Jackson, PTA's National Provider Identifier is 1992149066, issued on Apr 19, 2013. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Bethesda, MD. The record was last updated on May 29, 2026.