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Linda Carol Jackson, PTA

Physical Therapy Assistant in Muncie, IN. Individual provider (NPI-1).

NPI number1417282955
StatusActive
Last updated in NPPESOct 15, 2009

Details

NPI
1417282955
Entity type
Individual (NPI-1)
Name
Mrs. Linda Carol Jackson
Credential
PTA
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 15, 2009
Last updated
Oct 15, 2009

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 codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant06002171AINYes

Practice location

9200 S County Road 300 W
Muncie, IN 47302-8833

Phone 765-759-8664

Mailing address

9200 S County Road 300 W
Muncie, IN 47302-8833

Phone 765-759-8664

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.

Other Physical Therapy Assistant providers in Muncie, IN

All 40 Physical Therapy Assistant providers in Muncie · All 3,244 providers in Muncie

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