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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Deborah A Jackson, PHD,PT, OCS,CMP, ATC

Physical Therapist in St Augustine, FL · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1336107408

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Registry record

Entity type Individual (Type 1)
Name Dr. Deborah A Jackson
Credential PHD,PT, OCS,CMP, ATC
Sex Female
Practice address St Augustine, FL, 32092
Phone (904) 342-5262
Fax (904) 217-3580
Enumeration date May 1, 2006
Last updated in NPPES Oct 19, 2012

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License PT11000 (FL) Primary
PHD · Doctor of Philosophy: A doctoral degree; in healthcare often held by clinical psychologists and researchers. About the PHD credential

Other identifiers

Identifier Type State Issuer
GE918Z Other - MEDICARE
Y5614 Other - BCBS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Deborah Jackson?
The National Provider Identifier (NPI) for Deborah Jackson is 1336107408, a Type 1 (individual) record in the CMS NPPES registry.
Where does Deborah Jackson practice?
The practice location on file with NPPES is in St Augustine, FL. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-10-19.