Shawn Jackson, P.T.
NPI 1053577825 · Physical Therapist · Green Bay, WI
Shawn Jackson, P.T. is a Physical Therapist provider in Green Bay, WI (NPI 1053577825).
Provider details
- NPI number
- 1053577825
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- P.T.
- Sex
- Male
- Sole proprietor
- Yes
- License
- #4899-024 (WI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES 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
Mailing address
Registry dates
- Enumerated
- 2008-07-31
- Last updated
- 2015-05-21
Frequently asked questions
- What is Shawn Jackson's NPI number?
- Shawn Jackson's National Provider Identifier (NPI) is 1053577825, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shawn Jackson's specialty?
- Shawn Jackson is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Shawn Jackson located?
- Shawn Jackson's practice location on file with NPPES is 2701 Larsen Rd, Green Bay, WI 54303-4863.
- What is Shawn Jackson's phone number?
- The practice phone number listed in the NPPES registry for Shawn Jackson is (920) 883-2284.
- Is Shawn Jackson's NPI active?
- Yes — Shawn Jackson's NPI (1053577825) is active in the NPPES registry as of the last update on 2015-05-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.