NPI 1013532498

Jackson Thomas Pruett, PTDPT

Practitioner Physical Therapist Fayetteville, NC

Practice location

Address: 5860 Yadkin Rd, Fayetteville, NC 28303-2668
Phone: (910) 491-5164
Mailing address: 953 Butler Dr, Erwin, NC 28339-8519

Registered specialties (2)

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence P19589 (NC)

Other Physical Therapist providers in North Carolina →

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 10968 (SC)

Registry record

NPI: 1013532498
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Jun 2020
Record last updated: 4 Feb 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.