DESHAUN JACKSON (NPI# 1134652456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134652456 |
| Entity Type | Individual |
| Full Name | DESHAUN JACKSON |
| Practice Address |
709 Olivia Dr Davison MI 48423-1248 |
| Practice Telephone | 8104498321 |
| Mailing Telephone | 8104498321 |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2017-04-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 5502004671 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285990622 | Deshaun Antonio Jackson | Specialist | 1406 Westwood Rd, Natchez, MS 39120-5055 | 2012-04-10 |
| Street Address |
709 OLIVIA DR |
| City | DAVISON |
| State | MI |
| Zip Code | 48423-1248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598258105 | Davison Medical Practice Plc | Internal Medicine | 1260 N Irish Rd Ste B, Davison, MI 48423 | 2018-06-08 |
| 1760911036 | Davison Care N Assist | Meals | 1044 North Irish, Davison, MI 48423 | 2017-06-08 |
| 1518499839 | Angela Dunscombe | Assistant Behavior Analyst | 370 Carol Mary Ln, Davison, MI 48423 | 2017-03-28 |
| 1932572849 | Terria Kurtz | Social Worker | 501 Davison Rd, Davison, MI 48423 | 2015-11-02 |
| 1821465139 | Teresa Marshall | Registered Nurse | 832 Groten Drive, Davison, MI 48423 | 2015-08-24 |
| 1821478132 | Phyllis Ann Stoutenberg | Massage Therapist | 105 E. Second St., Suite 2, Davison, MI 48423 | 2015-06-02 |
| 1760869713 | Aimee Vakula-rollins, D.d.s., Pllc | Dentist | 1044 N. Irish Rd, Suite B, Davison, MI 48423 | 2015-04-29 |
| 1841681459 | Pamela Linn | Counselor | 501 W. Flint St Suite A, Davison, MI 48423 | 2015-02-18 |
| 1740684232 | Dustin Doren | Physical Therapist | 1410 Pondview Dr, Davison, MI 48423 | 2014-10-14 |
| 1982032132 | Sadie Adams | Speech-Language Pathologist | 9100 Lapeer Road Suite C, Davison, MI 48423 | 2013-10-25 |
| Find all providers in zip 48423 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) 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 |
|---|---|---|---|---|
| 1235792797 | Theresa Ann Mays | Physical Therapy Assistant | 5283 N State Rd, Davison, MI 48423-8414 | 2019-04-19 |
| 1386115624 | Scott A Sitko | Physical Therapy Assistant | 1515 Cal Dr, Davison, MI 48423-9016 | 2018-12-16 |
| 1003134511 | Deanne Jones | Physical Therapy Assistant | 9100 Lapeer Rd, Davison, MI 48423-3620 | 2010-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851990287 | Salem Ali Ahmad | Physical Therapy Assistant | 835 Mason St Ste 245, Dearborn, MI 48124-2231 | 2020-10-17 |
| 1841897493 | Michael Wayne Wyrick | Physical Therapy Assistant | 1612 Englewood Ave, Royal Oak, MI 48073-2881 | 2020-10-07 |
| 1942817309 | Molly K Hemingway | Physical Therapy Assistant | 2272 Deep Woods Dr, Eaton Rapids, MI 48827-8211 | 2020-09-29 |
| 1073129425 | Bradley Theodore Dubey | Physical Therapy Assistant | 6533 Cannon Farms Dr Ne, Rockford, MI 49341-8284 | 2020-09-21 |
| 1134735871 | Weston Curtis Wylie | Physical Therapy Assistant | 3070 13 Mile Rd Ne, Rockford, MI 49341-8070 | 2020-09-18 |
| 1992310494 | Zahraa Al-khalil | Physical Therapy Assistant | 13804 Huntington St, Riverview, MI 48193-7548 | 2020-09-11 |
| 1497360242 | Keely Erin Zuri | Physical Therapy Assistant | 3250 W. Big Beaver, Troy, MI 48084 | 2020-09-09 |
| 1881208809 | Morgan Paige Ballmann | Physical Therapy Assistant | 4150 Kalamazoo Ave. Se, Grand Rapids, MI 49508 | 2020-09-08 |
| 1669086617 | Stephen Norrod | Physical Therapy Assistant | 2705 Engleman Dr, Highland, MI 48356-2425 | 2020-09-06 |
| 1891304812 | Active Recovery Physical Therapy & Sports Rehab | Physical Therapy Assistant | 250 S Lake St Ste E, East Jordan, MI 49727-9376 | 2020-07-27 |
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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.