MISS KELLY NICOLE JACKSON (NPI# 1033365002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033365002 |
| Entity Type | Individual |
| Full Name | MISS KELLY NICOLE JACKSON |
| Credential | PTA |
| Practice Address |
2085 N 120th St Suite D8 Omaha NE 68164-3479 |
| Mailing Address |
8464 Orchard Ave Omaha NE 68127-2606 |
| Practice Telephone | 4024454335 |
| Practice Fax Number | 4024456162 |
| Mailing Telephone | 4029609964 |
| Mailing Fax Number | 4024456162 |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2008-08-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | NE733 | NE | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588036263 | Kelly Jackson | Social Worker | 2937 Ne 16th Ter, Gainesville, FL 32609-3234 | 2015-10-21 |
| 1477896876 | Kelly A Jackson | Occupational Therapist | 178 Manila Ave, Staten Island, NY 10306-5608 | 2013-04-03 |
| 1104986793 | Kelly A Jackson | Chiropractor | 190 North Main Street, Natick, MA 01760 | 2006-12-12 |
| 1518982487 | Kelly Donald Jackson | Dentist | 3023 Eastland Blvd Ste 112, Clearwater, FL 33761-4106 | 2006-07-13 |
| 1689273310 | Kelly Jackson | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5312 | 2020-10-23 |
| 1629544655 | Kelly Colleen Jackson | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2018-10-17 |
| 1619457926 | Kelly Jackson | Physician Assistant | 12300 Mccracken Rd, Garfield Heights, OH 44125-2975 | 2018-08-16 |
| 1760961833 | Kelly D Jackson | Licensed Practical Nurse | 602 W Semands St, Conroe, TX 77301-1867 | 2018-08-09 |
| 1841780178 | Kelly Amanda Jackson | Nurse Practitioner | 1700 Medical Center Pkwy, Murfreesboro, TN 37129-2245 | 2018-05-11 |
| 1033653431 | Kelly Jackson | Nurse Practitioner | 606 W Columbia St, San Augustine, TX 75972-1709 | 2016-12-05 |
| Street Address |
2085 N 120TH ST SUITE D8 |
| City | OMAHA |
| State | NE |
| Zip Code | 68164-3479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356388896 | Kathleen Joann Hockett | Physical Therapist | 2085 N 120th St, Suite D8, Omaha, NE 68164-3479 | 2006-06-01 |
| 1932516150 | Sean Walker | Chiropractor | 2085 N 120th St, Suite D-6, Omaha, NE 68164-3479 | 2014-07-21 |
| 1104150135 | Matthew John Francoeur | Chiropractor | 2085 N 120th St, Suite D-6, Omaha, NE 68164-3479 | 2009-09-23 |
| 1609025592 | Koca Chiropractic Clinic | Chiropractor | 2085 N 120th St, Suite D6, Omaha, NE 68164-3479 | 2008-09-16 |
| 1619177342 | Nikki Lee Huls | Chiropractor | 2085 N 120th St, Ste D-6, Omaha, NE 68164-3480 | 2007-07-20 |
| 1841398195 | Heather L. Dumas | Physical Therapy Assistant | 2085 N 120th St, Suite D8, Omaha, NE 68164-3479 | 2006-09-20 |
| 1639117682 | Moving Well Physical Therapy Limited Partnership | Physical Therapist | 2085 N 120th St, Suite D8, Omaha, NE 68164-3479 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245891035 | Kind Heart Caregivers | Home Health | 10840 Cottonwood Lane Apt 39, 10840 Cottonwood Lane Apt 39, Omaha, NE 68164 | 2019-06-24 |
| 1174082622 | Dana Thiele | Occupational Therapist | 11808 Grant Street, Suite 100, Omaha, NE 68164 | 2019-03-14 |
| 1346709896 | Kelsey Melsheimer | Occupational Therapist | 11808 Grant St Suite 100, Omaha, NE 68164 | 2019-03-14 |
| 1326579202 | Regina Marie Brant | Registered Nurse | 11422 Kansas Circle, Omaha, NE 68164 | 2017-03-23 |
| 1174984140 | Afoua Badjaglana | Physical Therapy Assistant | 3526 N 112th Plz Apt 6, Omaha, NE 68164 | 2016-03-17 |
| 1679966543 | Paige Latino | Physical Therapist | 11808 Grant St, Suite 100, Omaha, NE 68164 | 2015-03-16 |
| 1053716753 | John Bigando | Pharmacist | 13250 W. Maple Road, Omaha, NE 68164 | 2014-10-24 |
| 1063813582 | Yusuke Tanaka | Specialist/Technologist | 10857 Arlington Pz, #1520, Omaha, NE 68164 | 2014-09-16 |
| 1083015515 | Hyunjae Jeon | Specialist/Technologist | 10857 Arlington Plaza, Apt. 1520, Omaha, NE 68164 | 2014-09-16 |
| 1942630389 | Stephanie Nicole Rupp | Dietitian, Registered | 10808 Fort Street, Omaha, NE 68164 | 2013-11-21 |
| Find all providers in zip 68164 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (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 Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) 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 |
|---|---|---|---|---|
| 1841852050 | Sheridan Danielle Barno | Physical Therapy Assistant | 14748 W Center Rd Ste 300, Omaha, NE 68144-2029 | 2019-07-08 |
| 1316506447 | Paige Fairbanks | Physical Therapy Assistant | 19915 Nina St, Omaha, NE 68130-6071 | 2019-06-12 |
| 1124582101 | Rachael Ross | Physical Therapy Assistant | 6575 Dogwood Dr, Omaha, AR 72662-9332 | 2019-01-24 |
| 1851887046 | Kelly Hecht | Physical Therapy Assistant | 15710 Cottonwood Ave, Omaha, NE 68136-3197 | 2018-07-10 |
| 1184137317 | Brandon Scott Ladwig | Physical Therapy Assistant | 3810 N 173rd Ave, Omaha, NE 68116-3124 | 2017-11-09 |
| 1396297362 | Amanda Saner | Physical Therapy Assistant | 12315 Wirt St, Omaha, NE 68164-2593 | 2016-10-26 |
| 1609326990 | Dallas Ripley | Physical Therapy Assistant | 1508 N 93rd St, Omaha, NE 68114-2212 | 2016-10-11 |
| 1124471693 | Dayna Rae Kathman | Physical Therapy Assistant | 15617 Rosewood St, Apt. #9, Omaha, NE 68136-3310 | 2016-07-19 |
| 1104276914 | Traci Freeburg | Physical Therapy Assistant | 1314 N 113th Ct, Omaha, NE 68154-5873 | 2016-06-13 |
| 1174984140 | Afoua Badjaglana | Physical Therapy Assistant | 3526 N 112th Plz Apt 6, Omaha, NE 68164 | 2016-03-17 |
| Find all providers in OMAHA | ||||
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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.