Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVIS JACKSON, PT, DPT
ActiveDAVIS JACKSON, PT, DPT is a Physical Therapy Assistant healthcare provider located in EASLEY, South Carolina. NPI 1629929203 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · EASLEY, SC
Registration Details
- NPI Number
- 1629929203
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 9, 2026 (0.46531822403507 yrs)
- Last Updated
- Feb 25, 2026
- License
-
13213 (SC)
Practice Information
- Address
-
227 S PENDLETON ST STE BEASLEY, SC, 296403084Browse SC providers · Browse ZIP 29640
- Phone
- 8648557030
- Fax
- 8648557019
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in EASLEY, SC
| Name | Credential | NPI |
|---|---|---|
| MICHAEL L DOSHER | PT | 1922092238 |
| LORI BARTENFELD | — | 1134113715 |
| MRS. CINDY MARIE TALLEY | RPT | 1215916028 |
| WOFFORD HARRISON | PT | 1326001942 |
| MARY ANN KETTERMAN | — | 1184676637 |
| ALEXANDRA HILL | PT | 1689614208 |
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.