Organization
BRANDON JACKSON, P T
Active
Organization
BRANDON JACKSON, P T
Active
Other names
Jackson Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDON LEROY JACKSON P.T. (OWNER)
(702) 898-7633
Entity
Organization
Contact information
Practice address
4765 S. DURANGO DR., STE 106, LAS VEGAS, NV 89147
(702) 898-7633
(702) 898-6433
Mailing address
4765 S. DURANGO DR., STE 106, LAS VEGAS, NV 89147
(702) 898-7633
(702) 898-6433
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1365
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100506016
—
NV
Enumeration date
06/30/2006
Last updated
08/12/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up