JACKSON SANNA


Address: 4901 Lac De Ville Blvd Unit D, Rochester, NY 14618-5647
Phone: 5852757379

JACKSON SANNA (NPI# 1053959304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053959304
Entity Type Individual
Full Name JACKSON SANNA
Practice Address 4901 Lac De Ville Blvd Unit D
Rochester
NY 14618-5647
Practice Telephone 5852757379
Enumeration Date 2019-12-17
Last Update Date 2019-12-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2251X0800X Physical Therapist
Specialization: Orthopedic
044568 NY Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 4901 LAC DE VILLE BLVD UNIT D
City ROCHESTER
State NY
Zip Code 14618-5647

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NPI Name Taxonomy Address Enumeration
1962056499 Zahavi Dental of Rochester Dentist 1815 S. Clinton Ave, 510, Rocheter, NY 14618 2019-08-01
1760047278 Inner Power Physical Therapy Pllc Clinic/Center 2561 Lac Deville Boulevard, Suite 100, Rochester, NY 14618 2019-05-09
1659859858 Steven Sanfilippo Counselor 2000 S. Winton Rd., Building 4, Suite 303, Rochester, NY 14618 2018-07-31
1578064853 Feet First Inc Durable Medical Equipment & Medical Supplies 1900 Clinton Ave S Ste 5, Rochester, NY 14618 2018-02-22
1558805374 Jennifer Virella Social Worker 2000 South Winton Road, Bldg 2, Rochester, NY 14618 2016-12-13
1235589300 Andrew Cyrus Marcy Nurse Practitioner 95 Allens Creek Road Bld 1 Ste 306, Rochester, NY 14618 2016-06-20
1932561073 Legacy Pediatrics Pediatrics 1815 South Clinton Avenue Ste 360, Rochester, NY 14618 2016-03-28
1790143105 Marie Lynn Bieber Dietitian, Registered 919 Winton Rd S Ste 220, Rochester, NY 14618 2016-02-01
1720443096 Brittany Rose Masetta Marriage & Family Therapist 2000 S Winton Rd, Bldg 4, Suite #200, Rochester, NY 14618 2015-12-30
1437543097 Kathleen Skye Kemp Internal Medicine 2400 S Clinton Ave Ste G2, Rochester, NY 14618 2015-03-22
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Taxonomy Information

Taxonomy Code 2251X0800X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Orthopedic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730509324 Integrated Physical Therapy Physical Therapist 884 E Ridge Rd, Rochester, NY 14621-1718 2014-04-22
1649447475 Donna Jean Latoy Physical Therapist 2233 South Clinton Ave, Rochester, NY 14618 2008-05-12
1801961693 Nanette P Thompson Physical Therapist 200 Linden Oaks Ste 300, Rochester, NY 14625-2841 2006-11-21
1548861511 Alexandra Stiewe Physical Therapist 1381 E Ridge Rd, Rochester, NY 14621-2016 2020-11-05
1255932620 Austin John Coppola Physical Therapist 4901 Lac De Ville Blvd, Rochester, NY 14618-5647 2020-11-03
1346871399 Taylor Ann Baranowsky Physical Therapist 4901 Lac De Ville Blvd Ste 110, Rochester, NY 14618-5648 2020-01-29
1144869439 Natalie Snyder Physical Therapist 4901 Lac De Ville Blvd Ste 110, Rochester, NY 14618-5648 2020-01-03
1427696079 Anna Lamb Physical Therapist 10 S Pointe Lndg, Rochester, NY 14606-3481 2019-12-13
1497393284 Jake Keller Physical Therapist 4901 Lac De Ville Blvd, Rochester, NY 14618-5647 2019-12-12
1679111587 Kyle Healy Physical Therapist 4901 Lac De Ville Blvd Ste 110, Rochester, NY 14618-5648 2019-12-11
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Competitor

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City ROCHESTER
Zip Code 14618

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Dataset Information

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.

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