MR. ROBERT L JACKSON (NPI# 1043314479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043314479 |
| Entity Type | Individual |
| Full Name | MR. ROBERT L JACKSON |
| Credential | PT |
| Practice Address |
1952 East 7000 S 100 Salt Lake City UT 84121 |
| Mailing Address |
Po Box 711185 Salt Lake City UT 84171 |
| Practice Telephone | 8019423311 |
| Practice Fax Number | 8019433989 |
| Mailing Telephone | 8019423311 |
| Mailing Fax Number | 8019433989 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 1043712401 | UT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 05585 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538701487 | Robert Jackson | Physical Therapist | 3056 Healthy Way Ste 116, Birmingham, AL 35243-2435 | 2019-10-11 |
| 1881003655 | Robert Donald Jackson | Social Worker | 151 Knollcroft Rd # 116d, Lyons, NJ 07939-5001 | 2014-08-06 |
| 1780005496 | Robert Earl Jackson Jr. | Community Health Worker | 17 Wickham Dr, Columbus, GA 31907-6328 | 2013-12-23 |
| 1073942371 | Robert Jackson | Massage Therapist | 502 11th St Se, Decatur, AL 35601-4908 | 2013-11-06 |
| 1447548573 | Robert Joseph Jackson | Licensed Practical Nurse | 5454 East State St, Hermitage, PA 16148 | 2011-07-11 |
| 1457515330 | Robert Anthony Jackson | Dentist | 2816 Veach Rd., Unit 305, Owensboro, KY 42303 | 2008-07-10 |
| 1437357399 | Robert D Jackson | Counselor | 5525 Erindale Dr Ste 112, Colorado Springs, CO 80918-6960 | 2007-07-03 |
| 1174736029 | Robert Allan Jackson | Physician Assistant | 2109 Brookview Ter Apt B, Pekin, IL 61554-7320 | 2007-05-08 |
| 1144389347 | Robert W Jackson | Dentist | 209 Mimosa Dr, Thomasville, GA 31792-6633 | 2006-12-06 |
| 1144305152 | Robert Eric Jackson | Internal Medicine | 291 Indian Lake Blvd, Hendersonville, TN 37075-3653 | 2006-10-26 |
| Street Address |
1952 EAST 7000 S 100 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013074764 | Paul S Macfarlane | Speech-Language Pathologist | 1952 East 7000 S, #100, Salt Lake City, UT 84121 | 2007-01-02 |
| 1407921026 | Amy A Buckley | Speech-Language Pathologist | 1952 East 7000 S, #100, Salt Lake City, UT 84121 | 2006-11-21 |
| 1083701098 | Trisha Lyn Maxwell | Physical Therapist | 1952 East 7000 S, #100, Salt Lake City, UT 84121 | 2006-10-10 |
| 1134217904 | Brian Adam Gibby | Occupational Therapist | 1952 East 7000 S, #100, Salt Lake City, UT 84121 | 2006-10-10 |
| 1952499725 | Valisa Gwynne Dilworth | Speech-Language Pathologist | 1952 East 7000 S, #100, Salt Lake City, UT 84121 | 2006-10-10 |
| 1992893747 | Brandon Irby Arrington | Physical Therapist | 1952 East 7000 S, #100, Salt Lake City, UT 84121 | 2006-10-10 |
| 1184712937 | Lezlie Joan Adler | Occupational Therapist | 1952 East 7000 S, #100, Salt Lake City, UT 84121 | 2006-10-10 |
| 1508954363 | Danna Elizabeth Bowns | Speech-Language Pathologist | 1952 East 7000 S, #100, Salt Lake City, UT 84121 | 2006-10-10 |
| 1407942253 | David D Woodbury | Physical Therapist | 1952 East 7000 S, #100, Salt Lake City, UT 84121 | 2006-10-05 |
| 1922102177 | Rob Lloyd | Physical Therapist | 1952 East 7000 S, Salt Lake City, UT 84121 | 2006-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407483522 | Kaitlyn Horne | Behavior Technician | 6910 S. Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-26 |
| 1952936387 | Jared Wells | Behavior Technician | 6910 S Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-05 |
| 1518591874 | Slc Plastic Surgery LLC | Plastic Surgery | 6686 Highland Drive, Cottonwood Heights, UT 84121 | 2020-02-26 |
| 1093273708 | Anna O'hearon | Counselor | New Roads Behavioral Health, 2450 Fort Union Blvd, Cottonwood Heights, UT 84121 | 2019-03-12 |
| 1053883181 | Charles Keller IIi | Pediatrics | 2198 S Yvonne Rd #344, Salt Lake City, UT 84121 | 2018-12-31 |
| 1669964516 | Marissa King | Specialist | 1141 E. 3900 S. Suite 150a, Salt Lake, UT 84121 | 2018-06-05 |
| 1376044313 | Slpd Cottonwood LLC | Dentist | 7167 South Highland Drive, 200, Cottonwood Heights, UT 84121 | 2018-02-26 |
| 1700315462 | Nelson & Tillmann Family Dentistry, PC | Dentist | 5872 S. 900 E. Ste 202, Salt Lake City, UT 84121 | 2017-06-07 |
| 1912430588 | Wasatch Midwifery and Wellness, LLC | Dietitian, Registered | 6440 S Wasatch Blvd, Ste 140, Holladay, UT 84121 | 2017-04-10 |
| 1407308331 | Tina Polgar | Registered Nurse | 6244 Highland Drive, Murray, UT 84121 | 2016-10-26 |
| Find all providers in zip 84121 | ||||
| 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 |
|---|---|---|---|---|
| 1619587672 | Anna Farrell | Physical Therapist | University of Utah Health 50 N Medical Drive, Salt Lake City, UT 84132-0001 | 2020-08-05 |
| 1609400936 | Vdcpt801 LLC | Physical Therapist | 1003 W Fremont Ave, Salt Lake City, UT 84104-2007 | 2020-02-25 |
| 1669002416 | Vibe Wellness LLC | Physical Therapist | 2263 E Murray Holladay Rd, Salt Lake City, UT 84117-5392 | 2020-01-21 |
| 1043869548 | Sarah Salazar | Physical Therapist | 5872 S 900 E Ste 150, Salt Lake City, UT 84121-1679 | 2019-09-06 |
| 1780246967 | Tyson Greenwood | Physical Therapist | 2200 E 3300 S, Salt Lake City, UT 84109-2635 | 2019-07-08 |
| 1154980852 | On The Go Physical Therapy LLC | Physical Therapist | 2507 S 300 W, Salt Lake City, UT 84115-2908 | 2019-06-07 |
| 1518431527 | Ashley Carmody Mwongela | Physical Therapist | 8th Avenue C St E, Salt Lake City, UT 84143-0001 | 2019-01-14 |
| 1063991982 | Madison Sanderson | Physical Therapist | 2295 S Foothill Dr Ste 1, Salt Lake City, UT 84109 | 2018-08-10 |
| 1215427711 | Lindsay Sullivan | Physical Therapist | 1121 E Brickyard Rd Apt 1803, Salt Lake City, UT 84106-2531 | 2018-05-10 |
| 1871013490 | Sarah Fallon | Physical Therapist | 1587 S Foothill Dr Apt 27, Salt Lake City, UT 84108-2757 | 2017-06-24 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84121 |
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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.