Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKSON TAYLOR
Active Sole ProprietorJACKSON TAYLOR is a Physical Therapy Assistant healthcare provider located in WALLINGFORD, Connecticut. NPI 1881251585 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · WALLINGFORD, CT
Registration Details
- NPI Number
- 1881251585
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 29, 2019 (7.2363709285424 yrs)
- Last Updated
- May 29, 2019
- Licenses
-
24093 (MA)12178 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
863 N MAIN STREET EXT STE 200WALLINGFORD, CT, 064922434Browse CT providers · Browse ZIP 06492
- Phone
- 2032653280
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in WALLINGFORD, CT
| Name | Credential | NPI |
|---|---|---|
| LYNN C VAUGHAN | RPT | 1619970514 |
| MRS. LINDSEY CONNELL | PT | 1720085491 |
| MRS. SUSAN HARMON DEVYLDER | RPT | 1306831987 |
| MRS. MARY BETH J VIENTOS | RPT | 1396731873 |
| MAUREEN ANN MELLEKY | RPT | 1144216623 |
| MRS. KAREN ANN PONZIO | RPT | 1871589358 |
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.