Tylyn Brooke Jackson, PT, DPT
Physical Therapist in Elberton, GA. Individual provider (NPI-1).
NPI number1316617855
StatusActive
Last updated in NPPESSep 16, 2021
Details
- NPI
- 1316617855
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Tylyn Brooke Jackson
- Credential
- PT, DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 16, 2021
- Certification date
- Sep 16, 2021
- Last updated
- Sep 16, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT013887 | GA | Yes |
Practice location
4 Medical DrElberton, GA 30635-1897
Phone 706-283-3151 · Fax 706-213-2545
Mailing address
4 Medical DrElberton, GA 30635-1897
Phone 706-283-3151 · Fax 706-213-2545
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 6 Physical Therapist providers in Elberton · All 140 providers in Elberton
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