Wayne Jackson, DPT
- Affiliated sites
- 2
- Medical group
- 1
- State license
- 1
- Year NPI issued
- 2015
- Practice address
- 10300 Baltimore National Pike, Ellicott City, MD 21042
- Practice phone
- Call (443) 364-4495
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Revive Physical Therapy - Ellicott City (Baltimore National Pike)
Physical Therapy Clinic · Ellicott City, Maryland
Find Wayne Jackson's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Wayne Jackson is a physical therapist in Ellicott City, Maryland
Wayne Jackson practices at Revive Physical Therapy - Ellicott City (Baltimore National Pike) in Ellicott City, Maryland.
Wayne Jackson's NPI, 1104204668, was assigned on May 15, 2015. Wayne Jackson holds Maryland license 25338.
- NPI
- 1104204668NPI Registry (opens in a new tab)
- NPI enumeration date
- May 15, 2015
- NPI status
- Active
- Practice phone
- (443) 364-4495
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Affiliation Data
Wayne Jackson practices at Revive Physical Therapy - Ellicott City (Baltimore National Pike) in Ellicott City, Maryland
Wayne Jackson's primary practice is Revive Physical Therapy - Ellicott City (Baltimore National Pike), at 10300 Baltimore National Pike, Ellicott City, MD 21042. The practice phone is (443) 364-4495.
- Revive Physical Therapy - Ellicott City (Baltimore National Pike)10300 Baltimore National Pike, Ellicott City, MD 21042Phone(443) 364-4495
Source: Dmand AI Affiliation Data
Wayne Jackson is affiliated with 2 sites of care and 1 medical group
Wayne Jackson's primary practice is Revive Physical Therapy - Ellicott City (Baltimore National Pike) in Ellicott City, Maryland. The medical group on file is Revive Physical Therapy. Dmand AI also links Wayne Jackson to 1 more group practice or clinic, named with a free account. Wayne Jackson's employer is on file too: a physical therapy & rehab clinic.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Wayne Jackson's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Wayne Jackson practices, 2 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Revive Physical Therapy - Ellicott City (Baltimore National Pike) | Available with a free account |
| +1 more affiliated site | Available with a free account |
Source: Dmand AI Technology Install Data
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Wayne Jackson is one of 3,242 physical therapists in Maryland
Physical therapist is Wayne Jackson's primary specialty in the NPI Registry, under taxonomy code 225100000X. Wayne Jackson is licensed in Maryland.
Specialties and state licenses
- Physical therapist, MarylandPrimary
Physical therapists near Wayne Jackson
Counts of physical therapists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Wayne Jackson's patients have a median age of 29
Across all payers, Dmand AI patient panel data puts Wayne Jackson's median patient age at 29, with 100% women.
Wayne Jackson's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 29
Patient panel by sex, all payers
- Women100%
- Men0%
Source: Dmand AI Patient Panel Data
Sources for Wayne Jackson's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Wayne Jackson
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What is Wayne Jackson's NPI number?
Wayne Jackson's NPI number is 1104204668. It was assigned on May 15, 2015, and it is active in the NPI Registry.
What does Wayne Jackson specialize in?
Wayne Jackson is a physical therapist in Ellicott City, Maryland. The primary specialty in the NPI Registry is Physical Therapist (taxonomy code 225100000X).
Where does Wayne Jackson practice?
Wayne Jackson practices at 10300 Baltimore National Pike, Ellicott City, MD 21042. Wayne Jackson's primary practice is Revive Physical Therapy - Ellicott City (Baltimore National Pike) in Ellicott City, Maryland. Dmand AI also links Wayne Jackson to 1 group practice or clinic.
What is Wayne Jackson's office phone number?
The practice phone on file for Wayne Jackson is (443) 364-4495.
What is Wayne Jackson's medical license number?
Wayne Jackson holds Maryland license 25338.
What medical group is Wayne Jackson part of?
Wayne Jackson is linked to Revive Physical Therapy.
How long has Wayne Jackson been practicing?
Wayne Jackson's NPI was assigned in 2015.
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