Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EMILY ANASTASYA JACKSON, PT, DPT, LAT, ATC
ActiveDR. EMILY ANASTASYA JACKSON, PT, DPT, LAT, ATC is a Physical Therapy Assistant healthcare provider located in FAYETTEVILLE, North Carolina. NPI 1164040952 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · FAYETTEVILLE, NC
Registration Details
- NPI Number
- 1164040952
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 8, 2020 (6.1286904653782 yrs)
- Last Updated
- Feb 24, 2026
- Licenses
-
P24684 (NC)LAT-6216 (NC)
Practice Information
- Address
-
3035 BOONE TRAIL EXT STE AFAYETTEVILLE, NC, 283043860Browse NC providers · Browse ZIP 28304
- Phone
- 9109003814
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Athletic Trainer
Other Physical Therapy Assistant Providers in FAYETTEVILLE, NC
| Name | Credential | NPI |
|---|---|---|
| MS. KATHERINE JANE GRIESSER | PT | 1679576003 |
| MR. DONALD I FISCHER | PT | 1285636886 |
| MS. LORA R FAIRCLOTH | — | 1700888302 |
| ERIN THOMSON | MPT | 1437111770 |
| DENNIS MANALAC CASTOR | LPT | 1669430302 |
| CAROL S WHEELER | LPT | 1174571772 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.