Tia Jackson, MS, LAT, ATC
NPI 1649725938 · Athletic Trainer · Sturgeon Bay, WI
Tia Jackson, MS, LAT, ATC is a Athletic Trainer provider in Sturgeon Bay, WI (NPI 1649725938).
Provider details
- NPI number
- 1649725938
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS, LAT, ATC
- Sex
- Female
- Sole proprietor
- No
- License
- 1559-39 (WI)
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
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- N91w15750 Falls PkwyMenomonee Falls, WI 53051-2301Phone: (262) 532-1100
Registry dates
- Enumerated
- 2016-08-17
- Last updated
- 2019-02-19
Frequently asked questions
- What is Tia Jackson's NPI number?
- Tia Jackson's National Provider Identifier (NPI) is 1649725938, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tia Jackson's specialty?
- Tia Jackson is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Tia Jackson located?
- Tia Jackson's practice location on file with NPPES is 323 S 18th Ave, Sturgeon Bay, WI 54235-1401.
- What is Tia Jackson's phone number?
- The practice phone number listed in the NPPES registry for Tia Jackson is (920) 746-0410.
- Is Tia Jackson's NPI active?
- Yes — Tia Jackson's NPI (1649725938) is active in the NPPES registry as of the last update on 2019-02-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.