MS. KATHY JACKSON (NPI# 1104088749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104088749 |
| Entity Type | Individual |
| Full Name | MS. KATHY JACKSON |
| Credential | PT |
| Practice Address |
714 W Grove St El Dorado AR 71730-4416 |
| Mailing Address |
3308 Dogwood Rd El Dorado AR 71730-4155 |
| Practice Telephone | 8708814677 |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2008-06-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT278 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 116655721 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255940391 | Kathy Lorine Jackson | Technician | 2504 Toms Creek Rd, Wayne, WV 25570-9458 | 2020-07-24 |
| 1790175354 | Kathy Jackson | Massage Therapist | 850 W Ironwood Dr Ste 302, Coeur D Alene, ID 83814-4903 | 2015-02-03 |
| 1861835860 | Kathy Melton Jackson | Registered Nurse | 6051 Wescott Rd, Columbia, SC 29212-1408 | 2013-04-10 |
| 1619283595 | Kathy L Jackson | Private Vehicle | 15685 N Iron Bridge Rd, Marshall, IL 62441-4663 | 2010-08-30 |
| 1215971379 | Kathy M Jackson | Family Medicine | 502 W Central Ave, La Follette, TN 37766-3400 | 2006-06-16 |
| 1740795285 | Kathy Joy Jackson | Social Worker | 11401 Lorain Ave, Cleveland, OH 44111-5428 | 2017-12-06 |
| 1154728319 | Kathy Lacole Jackson | Public Health or Welfare | 151 E Wood St, Spartanburg, SC 29303-3016 | 2014-12-03 |
| 1255689337 | Kathy Lynn Jackson | Counselor | 7611 Saint Vincent Ave, Shreveport, LA 71106-4231 | 2012-08-21 |
| 1306914296 | Kathy Jo Jackson | Pediatrics | 117 W Paterson St, Kalamazoo, MI 49007-2557 | 2006-12-01 |
| 1811060379 | Kathy Jackson | Physical Therapist | 10820 Marvin E. Jones Blvd., Live Oak, FL 32060 | 2006-11-15 |
| Street Address |
714 W GROVE ST |
| City | EL DORADO |
| State | AR |
| Zip Code | 71730-4416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477679041 | South Arkansas Developmental Center for Children and Families | Day Training, Developmentally Disabled Services | 714 W Grove St, El Dorado, AR 71730-4416 | 2007-03-22 |
| 1851916738 | Community Living Arrangements | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 714 W Grove St, El Dorado, AR 71730-4416 | 2020-06-16 |
| 1902421829 | Anna Fairris | Physical Therapist | 714 W Grove St, El Dorado, AR 71730-4416 | 2020-06-16 |
| 1124650577 | Shelby Jones | Physical Therapy Assistant | 714 W Grove St, El Dorado, AR 71730-4416 | 2020-02-04 |
| 1245793207 | Allie Breanne Alspaugh | Occupational Therapist | 714 W Grove St, El Dorado, AR 71730-4416 | 2019-04-08 |
| 1437585148 | Julie Elaine Smith | Occupational Therapist | 714 W Grove St, El Dorado, AR 71730-4416 | 2013-09-25 |
| 1952608259 | Meredith Ellerbe | Physical Therapy Assistant | 714 W Grove St, El Dorado, AR 71730-4416 | 2011-02-22 |
| 1760705339 | South Arkansas Developmental Center | In Home Supportive Care | 714 W Grove St, El Dorado, AR 71730-4416 | 2010-03-10 |
| 1497080485 | South Arkansas Developmental Center for Children and Families | Day Training, Developmentally Disabled Services | 714 W Grove St, El Dorado, AR 71730-4416 | 2009-10-08 |
| 1770747776 | Mia Deshon Springer | Registered Nurse | 714 W Grove St, El Dorado, AR 71730-4416 | 2008-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043856172 | Mental Health Counseling for Individuals and Couples | Clinic/Center | 3256 West Hillsboro Suite C, El Dorado, AR 71730 | 2019-11-25 |
| 1114578168 | Candance Marie Guinn | Nurse Practitioner | 1906 W Hillsboro St Ste B, El Dorado, AR 71730 | 2019-09-20 |
| 1811460462 | Kelsie Rogers | Pharmacist | 2202 N West Ave, El Dorado, El Dorado, AR 71730 | 2019-01-07 |
| 1861925331 | Kasey Leigh Mcclain | Nurse Practitioner | 2280 E Main St, El Dorado, AR 71730 | 2017-04-11 |
| 1366989568 | Shane Morr | Marriage & Family Therapist | 704 W 5th Dr, El Dorado, AR 71730 | 2017-01-25 |
| 1376986539 | Ivory A. Kinslow, Mdpa | Optometrist | 443 W Oak St, El Dorado, AR 71730 | 2013-04-08 |
| 1134485170 | Drs Weddle and Baumsardner | Dentist | 106 West Main St. 212, El Dorado, AR 71730 | 2012-04-04 |
| 1972888923 | Lenora S Newsome | Pharmacist | 2135 North West Ave, El Dorado, AR 71730 | 2011-10-20 |
| 1730460338 | South Arkansas Pharmacy, Inc | Pharmacy | 600 South Timberlane #101, El Dorado, AR 71730 | 2011-09-09 |
| 1710273891 | Ezinne Charity Nwude | Emergency Medicine | 701 N. West Avenue, El Dorado, AR 71730 | 2011-06-27 |
| Find all providers in zip 71730 | ||||
| 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 |
|---|---|---|---|---|
| 1124639182 | Melynda Jade Sanchez | Physical Therapist | 720 W Central Ave Ste 206, El Dorado, KS 67042-2112 | 2020-08-13 |
| 1700423217 | Shari Kaye Scheffler | Physical Therapist | 720 W Central Ave Ste 400, El Dorado, KS 67042-2112 | 2019-12-03 |
| 1700295276 | Kent Mccuistion | Physical Therapist | 5104 Ne 50th St, El Dorado, KS 67042-0729 | 2014-08-08 |
| 1790104172 | Marlene Deiparine Oliver | Physical Therapist | 205 Chula Vista Rd, El Dorado, AR 71730-2945 | 2014-04-14 |
| 1477840627 | Kathryn Ferrantelle Fisher | Physical Therapist | 2348 W Central Ave Ste B, El Dorado, KS 67042-3465 | 2011-07-07 |
| 1154582682 | Jessica Leigh Michel | Physical Therapist | 700 W Central Ave Ste 101, El Dorado, KS 67042-2187 | 2008-06-18 |
| 1023217486 | Jennifer Lynn Martin | Physical Therapist | 2700 Vine St., El Dorado, AR 71730 | 2007-07-16 |
| 1659463586 | Rhonda Ann Cardin | Physical Therapist | 203 W. Grove St., Grove Street Pt Clinic, El Dorado, AR 71730-4646 | 2006-09-28 |
| 1568457539 | Alice Jean Crawley | Physical Therapist | 2700 Vine Street, El Dorado, AR 71730-6700 | 2005-09-15 |
| 1902421829 | Anna Fairris | Physical Therapist | 714 W Grove St, El Dorado, AR 71730-4416 | 2020-06-16 |
| Find all providers in EL DORADO | ||||
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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.