OrganizationActive
Brandon Jackson PT
NPI 1205266764 · Sports Physical Therapist · Las Vegas, NV
Provider details
- NPI number
- 1205266764
- Entity type
- Organization
- Primary specialty
- Sports Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Brandon Jackson, Physical Therapist(702) 845-1386
- License
- 1365 (NV)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
4765 S Durango Dr
Suite 106
Las Vegas, NV 89147-8145
Phone: (702) 898-7633
Fax: (702) 898-6433
Street-level locationGet directions
Mailing address
4765 S Durango Dr
Las Vegas, NV 89147-8145
Other names (DBA / former)
- Doing business as
- Jackson Physical Therapy and Sports Medicine
Registry dates
- Enumerated
- 2013-11-20
- Last updated
- 2014-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.