Mark Jackson, P.T., DPT, MPS, OCS
NPI 1467504365 · Physical Therapist · Ithaca, NY
Mark Jackson, P.T., DPT, MPS, OCS is a Physical Therapist provider in Ithaca, NY (NPI 1467504365).
Provider details
- NPI number
- 1467504365
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- P.T., DPT, MPS, OCS
- Sex
- Male
- Sole proprietor
- No
- License
- 020487 (NY)
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
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
Mailing address
Registry dates
- Enumerated
- 2007-01-18
- Last updated
- 2012-02-27
Frequently asked questions
- What is Mark Jackson's NPI number?
- Mark Jackson's National Provider Identifier (NPI) is 1467504365, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Jackson's specialty?
- Mark Jackson is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Mark Jackson located?
- Mark Jackson's practice location on file with NPPES is 10 Brentwood Dr, Ithaca, NY 14850-1865.
- What is Mark Jackson's phone number?
- The practice phone number listed in the NPPES registry for Mark Jackson is (607) 274-4159.
- Is Mark Jackson's NPI active?
- Yes — Mark Jackson's NPI (1467504365) is active in the NPPES registry as of the last update on 2012-02-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.