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

Mr. Jacob S Jackson, DPT

Individual provider Physical Therapist · NPI 1982162905

Mr. Jacob S Jackson, DPT is a Physical Therapist in Mount Vernon, Illinois. Licensed in Illinois. Registered with an NPI since 2019.

Licensed in
IL
In the registry since
2019
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

4110 S Water Tower Pl
Mount Vernon, IL 62864-6544
Phone: (618) 242-1100
Fax: (618) 244-5148
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070024163 (IL)

Record details

NPI number1982162905
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMarch 8, 2019
Last updated in NPPESMarch 8, 2019

Other providers in Mount Vernon