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

Mr. Thomas Eugene Jackson, PT

Individual provider Physical Therapist · NPI 1790979292

Mr. Thomas Eugene Jackson, PT is a Physical Therapist in Azusa, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

830 S Citrus Ave Ste 203
Azusa, CA 91702
Phone: (626) 339-6514
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 9248 (CA)

Record details

NPI number1790979292
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 28, 2007
Last updated in NPPESAugust 30, 2007

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