P Praxis·MD
● Active Type 1 · Individual

Beverly Jackson, PTA

Physical Therapy Assistant·Athens, GA· NPI 1689521585 · Enumerated 2026 · 0 years on NPI
Jackson is 1 of 45 physical therapy assistant providers in Athens and 1 of 1124 in Georgia.
NPI age
— years
Enumerated 2026-03-11
Primary specialty
Physical Therapy Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-03-11
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1124 active physical therapy assistant providers in Georgia.

NPI age
0 years
↓ 9 yr below median (9 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
8% of peers hold subspecialties

NPI lifetime · 2026 → 2026

2026-03Enumerated in NPPES
2026 2026

Where they practice

Practice location
665 Gaines School Rd
Athens, GA 306053127
📞 7063698115fax 7063698116
Mailing address
665 Gaines School Rd
Athens, GA 306053127
📞 7063698115fax 7063698116

Additional practice locations

1 secondary location on file with NPPES.

Location 2
30 Tim Trl
Danielsville, GA 306336929
📞 7067950155fax 7067950156

Specialties

  • Physical Therapy Assistant Primary
    (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or...
    GA license #PTA004284 taxonomy 225200000X

Practice context

Part of a multi-provider practice. 20 other active providers share this practice address in NPPES.

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How to verify this provider

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

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