David Jackson Jr., PTA
NPI 1104098904 · Physical Therapy Assistant · Lake City, SC
David Jackson Jr., PTA is a Physical Therapy Assistant provider in Lake City, SC (NPI 1104098904).
Provider details
- NPI number
- 1104098904
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- License
- 1706 (SC)
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
18 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
- 2008-04-01
- Last updated
- 2008-04-01
Frequently asked questions
- What is David Jackson Jr.'s NPI number?
- David Jackson Jr.'s National Provider Identifier (NPI) is 1104098904, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is David Jackson Jr.'s specialty?
- David Jackson Jr. is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is David Jackson Jr. located?
- David Jackson Jr.'s practice location on file with NPPES is 258 N Ron Mcnair Blvd, Lake City, SC 29560-2462.
- What is David Jackson Jr.'s phone number?
- The practice phone number listed in the NPPES registry for David Jackson Jr. is (843) 374-6198.
- Is David Jackson Jr.'s NPI active?
- Yes — David Jackson Jr.'s NPI (1104098904) is active in the NPPES registry as of the last update on 2008-04-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.