● Active Type 1 · Individual

Emily Mae Jackson, DPT, OCS

Physical Therapist·Roswell, GA· NPI 1003490137 · Enumerated 2021 · 5 years on NPI

Jackson is 1 of 194 physical therapist providers in Roswell and 1 of 7,474 in Georgia.

NPI age

5 years

Enumerated 2021-05-05

Primary specialty

Physical Therapist

Licensed in

1 state

Status

Active

No deactivations on record

Last NPPES update

2025-07-02

Source: CMS NPPES provider record

Sole proprietor

May be part of a larger org

How this provider compares

Across 7474 active physical therapist providers in Georgia.

NPI age

5 years

↓ 5 yr below median (10 yr)

State licenses

1 state

12% of peers hold multiple states

Subspecialties

18% of peers hold subspecialties

NPI lifetime · 2021 → 2025

2021-05Enumerated in NPPES

2021 2025

Where they practice

Practice location

87 Vickery St

Roswell, GA 300754924

📞 4042545607

Mailing address

11840 Dancliff Trce

Alpharetta, GA 300098736

📞 4044837597

Additional practice locations

1 secondary location on file with NPPES.

Location 2

1322 E Washington St Ste B1

Greenville, SC 296071867

📞 6427294081

Specialties

Respiratory, Developmental, Rehabilitative and Restorative Service Providers › Physical Therapist

Physical Therapist Primary

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...

taxonomy 225100000X

Medicare directory context

Attributes below come from the CMS Doctors & Clinicians dataset used by Medicare Care Compare, retrieved 2026-10-12. They apply only to this clinician's public Medicare listing.

Medicare specialties

Physical Therapist In Private Practice

Largest Medicare group

167 members

Largest listed enrollment group

Facility affiliations reported by CMS

Georgia Luna Care Physical Therapy Llc

Medicare listing data does not guarantee that a clinician is accepting new patients or that a service is covered. View the CMS dataset →

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

Recently enumerated nearby: 7 new physical therapist providers have been added in Roswell in the last 180 days. See all →

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How to verify this provider

Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
Check the state license is currently active.State licensing boards publish current status; NPPES does not.
Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.