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

John Jackson

Individual provider Physical Therapy Assistant · NPI 1992202832

John Jackson is a Physical Therapy Assistant in Chittenango, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2018
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Practice location Address checks out

209 Lake St
Chittenango, NY 13037-1518
Phone: (315) 256-3615
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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 011063 (NY)

Record details

NPI number1992202832
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 8, 2018
Last updated in NPPESApril 8, 2018