Ida Desiree Jackson
NPI 1639957434 · Physical Therapy Assistant · Macon, GA
Ida Desiree Jackson is a Physical Therapy Assistant provider in Macon, GA (NPI 1639957434).
Provider details
- NPI number
- 1639957434
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- PTA002042 (GA)
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
2 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
- 2023-09-21
- Last updated
- 2023-09-21
- Certified
- 2023-09-21
Frequently asked questions
- What is Ida Desiree Jackson's NPI number?
- Ida Desiree Jackson's National Provider Identifier (NPI) is 1639957434, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ida Desiree Jackson's specialty?
- Ida Desiree Jackson is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Ida Desiree Jackson located?
- Ida Desiree Jackson's practice location on file with NPPES is 291 Plantation Centre Dr N Apt 705, Macon, GA 31210-9249.
- What is Ida Desiree Jackson's phone number?
- The practice phone number listed in the NPPES registry for Ida Desiree Jackson is (478) 447-7052.
- Is Ida Desiree Jackson's NPI active?
- Yes — Ida Desiree Jackson's NPI (1639957434) is active in the NPPES registry as of the last update on 2023-09-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.