Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1982162905 Individual Practitioner Male Practitioner

Dr. Jacob S Jackson , DPT

Physical Therapist • Mount Vernon, IL

Professional Overview & Biography Verified Profile Summary

Dr. Jacob Jackson, DPT is a registered healthcare professional specializing in Physical Therapist in Mount Vernon, IL. Practice services are available at 4110 S WATER TOWER PL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4110 S Water Tower Pl

Mount Vernon, IL 628646544

Telephone 6182421100
Fax 6182445148
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Mount Vernon, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.1 Yrs
State Avg: 16.6 Yrs
Regional Practice Density
31 Specialists

Practicing in Mount Vernon, IL (12173 Statewide)

Telehealth Adoption Rate
3.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License IL 070024163

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Andre Coleman , OTR, L

Occupational Therapist

NPI 1174892731

Occupational Therapist Registered, L

Jason Mulholland , MS, ATC, CSCS

Specialist/Technologist - Athletic Trainer

NPI 1346233152

Master of Science, Certified Athletic Trainer, Certified Strength and Conditioning Specialist

Tracy Hamon , PT

Physical Therapist

NPI 1750358578

Physical Therapist

Jason White , PT

Physical Therapist

NPI 1942250287

Physical Therapist

Jill Lisk , PT

Physical Therapist

NPI 1982662920

Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 08, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location March 08, 2019

Registered at 4110 S WATER TOWER PL, MOUNT VERNON, IL 628646544 (Tel: 6182421100)

📍
Updated Business Mailing Address March 08, 2019

Registered at 4110 S WATER TOWER PL, MOUNT VERNON, IL 628646544 (Tel: 6182421100)

👤
Provider Name / Credentials Updated March 08, 2019

Recorded as JACOB JACKSON, DPT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2019

Physical Therapist (License #070024163 in IL)

🟢
Initial NPI Registration & Enumeration March 08, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1982162905
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 08, 2019
Last Update: March 08, 2019
Sole Proprietor: No

Mailing Address

4110 S Water Tower Pl

Mount Vernon, IL 628646544

Phone: 6182421100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.