Ethan Jackson, PT, DPT
NPI 1891210456 · Physical Therapist · Lawrenceville, GA
Ethan Jackson, PT, DPT is a Physical Therapist provider in Lawrenceville, GA (NPI 1891210456).
Provider details
- NPI number
- 1891210456
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- No
- License
- PT013032 (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
8 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
- 2017-08-04
- Last updated
- 2017-08-04
Frequently asked questions
- What is Ethan Jackson's NPI number?
- Ethan Jackson's National Provider Identifier (NPI) is 1891210456, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ethan Jackson's specialty?
- Ethan Jackson is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Ethan Jackson located?
- Ethan Jackson's practice location on file with NPPES is 455 Philip Blvd Bldg 100-160, Lawrenceville, GA 30046-8767.
- What is Ethan Jackson's phone number?
- The practice phone number listed in the NPPES registry for Ethan Jackson is (678) 985-0238.
- Is Ethan Jackson's NPI active?
- Yes — Ethan Jackson's NPI (1891210456) is active in the NPPES registry as of the last update on 2017-08-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.