Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bethany I Jackson

Individual provider Physical Therapy Assistant · NPI 1669830204

Bethany I Jackson is a Physical Therapy Assistant in Irvington, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2016
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Practice location Address checks out

10 Marshall St Apt 5A
Irvington, NJ 07111-8701
Phone: (201) 344-3960
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 40QB00293000 (NJ)

Record details

NPI number1669830204
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 9, 2016
Last updated in NPPESFebruary 9, 2016

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