MICHAEL FRANK JACKSON JR. (NPI# 1114441375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114441375 |
| Entity Type | Individual |
| Full Name | MICHAEL FRANK JACKSON JR. |
| Credential | DPT |
| Practice Address |
1806 Russell Pkwy Ste 1400 Warner Robins GA 31088-5781 |
| Mailing Address |
121 Partridge Trl Warner Robins GA 31088-6592 |
| Practice Telephone | 4782354441 |
| Mailing Telephone | 4783333075 |
| Mailing Fax Number | 4783333484 |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2020-09-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT013016 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 150 Osigian Blvd Ste 300, Warner Robins, GA 310888978 | (478) 333-3075 | 4783333484 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295345346 | Michael Frederick Jackson | Massage Therapist | 12702 E 33rd Ct, Spokane Valley, WA 99206-8372 | 2020-08-04 |
| 1295372993 | Michael Jackson | Chiropractor | 5216 Cold Springs Way, Eugene, OR 97405-5213 | 2019-12-02 |
| 1801365382 | Michael Jackson | Durable Medical Equipment & Medical Supplies | 5537b N Glenwood St Ste B, Garden City, ID 83714-1336 | 2018-11-14 |
| 1457809931 | Michael Jackson | Counselor | 10001 W. Grand Avenue, Franklin Park, IL 60131 | 2016-09-14 |
| 1639625833 | Michael Jackson | Counselor | 128 Mute Swan Place, Newark, DE 19711 | 2016-08-28 |
| 1467823104 | Michael Jackson | Occupational Therapy Assistant | 1913 N Oakes St Apt D, Tacoma, WA 98406-7527 | 2015-10-07 |
| 1831576651 | Michael Howard Jackson | Family Medicine | 4646 Nw Fielding Road, Topeka, KS 66618 | 2015-04-30 |
| 1063809846 | Michael Jackson | Social Worker | 43518 Champlain Ct, Canton, MI 48188-1711 | 2015-04-20 |
| 1780922872 | Michael A Jackson | Pharmacist | 585 Mcwilliams Rd Se Unit 2303, Atlanta, GA 30315-7571 | 2013-01-23 |
| 1790045763 | Michael A Jackson | Pharmacist | 123 East South Main St, Littleton, NC 27850 | 2012-05-23 |
| Street Address |
1806 RUSSELL PKWY STE 1400 |
| City | WARNER ROBINS |
| State | GA |
| Zip Code | 31088-5781 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487260840 | Totem Physical Therapy LLC | Clinic/Center | 1806 Russell Pkwy Ste 1400, Warner Robins, GA 31088-5781 | 2020-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218921 | Sarah Newman | Pharmacist | 1081 Ga-96, Warner Robins, GA 31088 | 2020-09-08 |
| 1619599115 | Alana Jane Sibley | Registered Nurse | 940 Ga - 96, Warner Robins, GA 31088 | 2020-05-07 |
| 1033779657 | Jodi Lynne Pettygrove | Nurse Practitioner | 115 Havelock Cir, Warner Robins, GA 31088 | 2019-06-17 |
| 1164994901 | Gwendolyn Jordan Taylor | Registered Nurse | 940-c Ga Hwy 96, Same, Warner Robins, GA 31088 | 2018-12-18 |
| 1447721543 | Amy Tanner | Behavioral Analyst | 200 Cresview Church Rd #1806, Warner Robins, GA 31088 | 2018-12-16 |
| 1518435676 | Phoenix Health Center | Case Management | 940 Ga-96, Warner Robins, GA 31088 | 2018-11-07 |
| 1427534320 | Jared Dean Johnson | Social Worker | 146 Lakepointe Drive, Warner Robins, GA 31088 | 2018-07-13 |
| 1285124180 | Cmp Academy & Billing Service | Contractor | 105 S Commercial Circle, Warner Robins, GA 31088 | 2018-05-16 |
| 1730692377 | Benzer Pharmacy | Pharmacy | 150 S Houston Lake Rd Ste 300, Warner Robins, GA 31088 | 2017-11-06 |
| 1821507476 | Timothy Doyle Thomas | Registered Nurse | 940-c Hwy 96, Warner Robins, GA 31088 | 2017-09-27 |
| Find all providers in zip 31088 | ||||
| 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 |
|---|---|---|---|---|
| 1295340776 | Playground Children's Therapy, LLC | Physical Therapist | 208 Smithville Church Rd, Warner Robins, GA 31088-7802 | 2020-09-11 |
| 1366814717 | Glenn Sammons Cassell | Physical Therapist | 150 Osigian Blvd, Suite 300, Warner Robins, GA 31088-8968 | 2015-10-26 |
| 1609190669 | Marlyn Jasper | Physical Therapist | 150 Osigian Blvd Ste 300, Warner Robins, GA 31088-8978 | 2010-03-19 |
| 1063692895 | Stacie S. Andrews | Physical Therapist | 220 Margie Dr, Warner Robins, GA 31088-7813 | 2007-11-08 |
| 1598956807 | Melissa Lew Goodman | Physical Therapist | Cantrell Center for Physical Therapy & Sports Medicine, 405 Osigian Blvd, Warner Robins, GA 31088-8958 | 2007-08-05 |
| 1932313434 | Diane Brown | Physical Therapist | 206 Antebellum Cir, Warner Robins, GA 31093-9045 | 2007-05-10 |
| 1922020361 | Joseph Melvin Sapp | Physical Therapist | 3051 Watson Blvd 525, Warner Robins, GA 31093-8556 | 2006-07-24 |
| 1366471047 | Elizabeth Ann Schroeder | Physical Therapist | 405 Osigian Blvd, The Cantrell Center for Physical Therapy & Sports Med, Warner Robins, GA 31088 | 2006-07-03 |
| 1699777367 | Angel B Brown | Physical Therapist | 117 Elmore Dr, Warner Robins, GA 31088-2803 | 2005-08-12 |
| 1285632596 | Matthew Thomas Henry | Physical Therapist | 3051 Watson Blvd, Warner Robins, GA 31093-8536 | 2005-07-11 |
| Find all providers in WARNER ROBINS | ||||
| City | WARNER ROBINS |
| Zip Code | 31088 |
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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.