Wayne Jackson, DPT
NPI 1104204668 · Physical Therapist · Ellicott City, MD
Wayne Jackson, DPT is a Physical Therapist provider in Ellicott City, MD (NPI 1104204668).
Provider details
- NPI number
- 1104204668
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- License
- 25338 (MD)
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
11 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
- 2015-05-15
- Last updated
- 2015-12-04
Frequently asked questions
- What is Wayne Jackson's NPI number?
- Wayne Jackson's National Provider Identifier (NPI) is 1104204668, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Wayne Jackson's specialty?
- Wayne Jackson is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Wayne Jackson located?
- Wayne Jackson's practice location on file with NPPES is 10300b Baltimore National Pike, Ellicott City, MD 21042-2128.
- What is Wayne Jackson's phone number?
- The practice phone number listed in the NPPES registry for Wayne Jackson is (410) 988-5171.
- Is Wayne Jackson's NPI active?
- Yes — Wayne Jackson's NPI (1104204668) is active in the NPPES registry as of the last update on 2015-12-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.