DR. JACKSON THOMAS PRUETT (NPI# 1013532498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013532498 |
| Entity Type | Individual |
| Full Name | DR. JACKSON THOMAS PRUETT |
| Credential | PT, DPT |
| Practice Address |
5860 Yadkin Rd Fayetteville NC 28303-2668 |
| Mailing Address |
953 Butler Dr Erwin NC 28339-8519 |
| Practice Telephone | 9104915164 |
| Mailing Telephone | 9194510212 |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2020-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | P19589 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5860 YADKIN RD |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28303-2668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457414823 | Tremayne T Thurman | Occupational Therapist | 5860 Yadkin Rd, Fayetteville, NC 28303-2668 | 2006-12-18 |
| 1568096709 | Jamie Pratt | Physical Therapist | 5860 Yadkin Rd, Fayetteville, NC 28303-2668 | 2020-02-26 |
| 1073153870 | Karla Arevalo-alas | Physical Therapist | 5860 Yadkin Rd, Fayetteville, NC 28303-2668 | 2020-01-09 |
| 1164921862 | Revolution Incorporated | Occupational Therapist | 5860 Yadkin Rd, Fayetteville, NC 28303-2668 | 2018-02-08 |
| 1497105712 | Stephanie Billings | Physical Therapist | 5860 Yadkin Rd, Fayetteville, NC 28303-2668 | 2016-06-17 |
| 1992181291 | Sabina Beckler | Physical Therapist | 5860 Yadkin Rd, Fayetteville, NC 28303 | 2015-08-10 |
| 1750779971 | Therapeutic Destinations | Occupational Therapy Assistant | 5860 Yadkin Rd, Fayetteville, NC 28303-2668 | 2014-12-23 |
| 1821495227 | Elizabeth Polley | Occupational Therapist | 5860 Yadkin Rd, Fayetteville, NC 28303-2668 | 2014-12-01 |
| 1205951449 | Gwendolyn Taylor Scott | Social Worker | 5860 Yadkin Rd, Fayetteville, NC 28303-2668 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801404496 | Matthew Pace | Physician Assistant | Bldg 5-4257 Bastogne St, Fort Bragg, NC 28303 | 2020-07-20 |
| 1952920449 | Vonetta Bethea Jackson | Social Worker | 391 Wagoner Drive, Fayetteville, NC 28303 | 2020-04-14 |
| 1932746229 | Julie Harriss | Specialist/Technologist | Bldg E 4062, Canopy Lane, Fort Bragg, NC 28303 | 2019-12-05 |
| 1235780354 | Helen Delores Johnson | Technician | 261 Pierron Dr, Fayetteville, NC 28303 | 2019-09-20 |
| 1922655075 | Andrea Margaret Hutnam | Technician | 714 Shortridge Rd, Fayetteville, NC 28303 | 2019-08-23 |
| 1225695273 | Breona Lister | Dental Hygienist | 38 17 Gruber Rd, Fort Bragg, NC 28303 | 2019-05-24 |
| 1780148957 | Brian K Cox Sr. | Occupational Therapy Assistant | 5300 Ramsey St, Fayetteville, NC 28303 | 2019-01-22 |
| 1730670902 | Michael Sadtler | Counselor | 804 Stamper Rd Ste 101, Fayetteville, NC 28303 | 2018-05-23 |
| 1104320399 | Tia Porterfield | Counselor | 2018 Fort Bragg Rd Ste 112a, Fayetteville, NC 28303 | 2018-03-21 |
| 1154835577 | Jessica Bass Bosworth | Psychologist | 3415 Youngstown Dr, Fayetteville, NC 28303 | 2017-11-21 |
| Find all providers in zip 28303 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821602178 | Ryan Matthew Derby | Physical Therapist | 1191 Fordham Drive, Suite 102, Fayetteville, NC 28304-3774 | 2020-09-03 |
| 1649882705 | P4 Physical Therapy - Fayetteville, LLC | Physical Therapist | 1229 Huntsville Hwy Ste B, Fayetteville, TN 37334-3685 | 2020-08-20 |
| 1295352136 | Jessica Czarnecki | Physical Therapist | 2668 E Citizens Dr Ste 4, Fayetteville, AR 72703-4796 | 2020-06-26 |
| 1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
| 1245870187 | Patricia Jean Boehlert | Physical Therapist | 4401 Medical Center Dr Ste 401, Fayetteville, NY 13066-6603 | 2020-01-08 |
| 1427691617 | Brandon Merrick | Physical Therapist | 13917 Hickory Trce, Fayetteville, AR 72704-8417 | 2019-10-21 |
| 1841847936 | Abigail Weiskopf | Physical Therapist | 2350 Bentridge Ln Suite 102, Fayetteville, NC 28304-0591 | 2019-08-22 |
| 1932755766 | Jonathan Cole Vaughn | Physical Therapist | 2793 E Millennium Pl Ste 2, Fayetteville, AR 72703-6522 | 2019-08-16 |
| 1205395944 | Sharon Branch | Physical Therapist | 125 Franklin Farms Cir, Fayetteville, GA 30214-3361 | 2019-03-12 |
| 1043796881 | Travis Alexander | Physical Therapist | 3399 Black Forest Dr Ste 3, Fayetteville, AR 72704 | 2018-07-16 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28303 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.