Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Mark Franklin Jackson, P.T., DPT, MPS, OCS
Physical Therapist in Ithaca, NY · enumerated 2007.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1467504365
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Registry record
Entity type Individual (Type 1)
Name Mark Franklin Jackson
Credential P.T., DPT, MPS, OCS
Sex Male
Practice address 10 Brentwood Dr, Suite A, Ithaca, NY, 14850
Phone (607) 274-4159
Fax (607) 274-4675
Enumeration date Jan 18, 2007
Last updated in NPPES Feb 27, 2012
Taxonomy & licenses
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 020487 (NY) Primary
PT · Physical Therapist: A licensed movement specialist treating injury and disability through exercise and rehabilitation.
About the PT credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000142682 | Other | NY | EXCELLUS BCBS |
| 7475387 | Other | NY | AETNA US HEALTHCARE |
| 4123843 | Other | NY | MVP |
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.
Frequently asked questions
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
What specialty is Mark Jackson?
Mark Jackson is registered in NPPES with the primary taxonomy of Physical Therapist. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Other providers at this practice address
Browse all → Norman Krause Orthopaedic Surgery Physician · Ithaca, NY NPI 1508859125 Ithaca Orthopaedic Group, PC Orthopaedic Surgery Physician · Ithaca, NY NPI 1912921263 Michael Ronald Emergency Medicine Physician · Ithaca, NY NPI 1871507905 Susan Carlisle Physician Assistant · Ithaca, NY NPI 1225042443 Eldridge Anderson Orthopaedic Surgery Physician · Ithaca, NY NPI 1760496855 Bruce Greene Orthopaedic Surgery Physician · Ithaca, NY NPI 1679587760 Tamara Stockwin Optometrist · Ithaca, NY NPI 1043326424 Karen Eccker Physical Therapist · Ithaca, NY NPI 1205916434
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-02-27.