OrganizationActive
Elizabeth Jackson
NPI 1023990561 · Pediatric Physical Therapist · Augusta, GA
Provider details
- NPI number
- 1023990561
- Entity type
- Organization
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Elizabeth Jackson, Physical Therapist(912) 585-4211
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1446 Harper St
Augusta, GA 30912-0012
Phone: (762) 375-2396
Street-level locationGet directions
Mailing address
4304 Candleberry Gdn
North Augusta, SC 29860-7203
Registry dates
- Enumerated
- 2025-07-24
- Last updated
- 2025-09-23
- Certified
- 2025-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.