IndividualActive
Ashiya Jackson, DPT, PCS
NPI 1164551826 · Pediatric Physical Therapist · Charlotte, NC
Provider details
- NPI number
- 1164551826
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT, PCS
- Sex
- Female
- Sole proprietor
- No
- License
- 070010961 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
3205 Freedom Dr
Charlotte, NC 28208-2866
Phone: (704) 336-7100
Street-level locationGet directions
Mailing address
2621 Keziah Rd
Matthews, NC 28105-1993
Registry dates
- Enumerated
- 2007-03-05
- Last updated
- 2022-01-12
- Certified
- 2022-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.