JACKSON THERAPY (NPI# 1124421631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124421631 |
| Entity Type | Organization |
| Organization Name | JACKSON THERAPY |
| Practice Address |
849 S Gun Barrel Ln # Lm Unit G5 Gun Barrel City TX 75156-9335 |
| Practice Telephone | 6107372524 |
| Mailing Telephone | 6107372524 |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2014-09-29 |
| Authorized Official Name | SAMANTHA MOYER (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 6107372524 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 252Y00000X | Early Intervention Provider Agency | 1249341 | TX | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740678242 | Jackson Therapy | Clinic/Center | 109 Leaf Ln, Hollidaysburg, PA 16648-1037 | 2015-01-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Jackson Therapy Partners LLC | 2655 Northwinds Parkway, Alpharetta, Georgia 30009 |
| Iowa Business Entities | JACKSON THERAPY PARTNERS, LLC | 2655 Northwinds Parkway, Alpharetta, GA 30009 |
| Oregon Corporations, Companies and Business Names | JACKSON THERAPY PARTNERS, LLC | 2655 Northwinds Parkway, Alpharetta, GA 30009 |
| Vermont Business Registrations | JACKSON THERAPY PARTNERS, LLC | 2655 Northwinds Parkway, Alpharetta, GA 30009 |
| Washington State Corporations | JACKSON THERAPY PARTNERS, LLC | 2655 Northwinds Pkwy, Alpharetta, DC 30009-2280 |
| Street Address |
849 S GUN BARREL LN # LM UNIT G5 |
| City | GUN BARREL CITY |
| State | TX |
| Zip Code | 75156-9335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841751757 | John Preston Turner | Social Worker | 122 S Old Gunbarrel Lane #6, Gun Barrel City, TX 75156 | 2019-03-26 |
| 1609389089 | Kristina Michelle Merritt | Social Worker | 122 Old Gun Barrel Ln, #6, Gun Barrel City, TX 75156 | 2017-11-08 |
| 1952840431 | Kristina Haning | Counselor | 122 South Old Gunbarrel Lane, #6, Gun Barrel City, TX 75156 | 2017-02-17 |
| 1306393582 | Budget Smiles Pllc | Dentist | 1116 W. Main St., Ste B, Gun Barrel City, TX 75156 | 2016-09-06 |
| 1346600210 | Gbc Medical Associates Pllc | Nurse Practitioner | 237 South Gun Barrel Lane, Gun Barrel City, TX 75156 | 2016-03-04 |
| 1548412943 | Bruce C Thurston | Dentist | 2527 W. Main St., Gun Barrel, TX 75156 | 2008-10-16 |
| 1952460016 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1279 W Main Street, Gun Barrel City, TX 75156 | 2006-12-06 |
| 1467556100 | Karen Elizabeth Shrader | Family Medicine | 429 N Gun Barrel Lane, Suite 111, Gun Barrel City, TX 75156 | 2006-09-12 |
| 1447289509 | Howell Home Medical Corporation | Durable Medical Equipment & Medical Supplies | 735 West Main Street, Gun Barrel City, TX 75156 | 2006-07-01 |
| 1386677243 | Garrett O Smith Jr. | Physician Assistant | 2418 W. Main St, Gun Barrel City, TX 75156 | 2006-07-07 |
| Find all providers in zip 75156 | ||||
| Taxonomy Code | 252Y00000X |
| Grouping | Agencies |
| Classification | Early Intervention Provider Agency |
| Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children’s needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development. |
| Notes: Source: National Dissemination Center for Children with Disabilities [7/1/2007: new] http://www.nichcy.org/pubs/parent/pa2txt.htm |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487287918 | Behavior and Education Inc | Early Intervention Provider Agency | 1 Chisholm Trail Rd Ste 450, Round Rock, TX 78681-5094 | 2020-02-12 |
| 1194362855 | Family Skills Works | Early Intervention Provider Agency | 7109 Salem Ct, Rowlett, TX 75089-3968 | 2019-12-02 |
| 1174087431 | Changing The Spectrum, LLC | Early Intervention Provider Agency | 2502 Tiger Eye Dr, Rosharon, TX 77583-2494 | 2019-01-30 |
| 1770023962 | A Balanced Child, Pllc | Early Intervention Provider Agency | 510 E Ramsey Rd Ste 5, San Antonio, TX 78216-4658 | 2017-03-07 |
| 1295270221 | Bay Area Rehabilitation Center | Early Intervention Provider Agency | 7 Swalm Center Dr, Baytown, TX 77520-1411 | 2016-12-29 |
| 1295192045 | The Ausbie Affect | Early Intervention Provider Agency | 7150 Smiling Wood Ln Apt 1307, Houston, TX 77086-3142 | 2016-01-25 |
| 1366851677 | The Gateway Centre LLC | Early Intervention Provider Agency | 12360 Richmond Ave Apt 1022, Houston, TX 77082-2404 | 2014-08-12 |
| 1669888350 | Communication Matters, Pllc | Early Intervention Provider Agency | 112 Fallbrook Dr, Murphy, TX 75094-4014 | 2014-07-02 |
| 1821429432 | Tammie Harrison-clark | Early Intervention Provider Agency | 3251 Matlock Rd, 15105, Mansfield, TX 76063-5044 | 2013-12-06 |
| 1437588498 | Behavioral Learning Agency | Early Intervention Provider Agency | 5739 Belvedere St, Houston, TX 77021-3201 | 2013-11-10 |
| Find all providers with the same taxonomy | ||||
| City | GUN BARREL CITY |
| Zip Code | 75156 |
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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.