ZACHARY BRADLEY JACKSON (NPI# 1205320405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205320405 |
| Entity Type | Individual |
| Full Name | ZACHARY BRADLEY JACKSON |
| Credential | DPT |
| Practice Address |
2205 S Main St Las Cruces NM 88005-3113 |
| Practice Telephone | 5756523515 |
| Practice Fax Number | 5756523518 |
| Mailing Telephone | 5756523515 |
| Mailing Fax Number | 5756523518 |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2018-09-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT5353 | NM | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225100000X | Physical Therapist | 2305212070 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 801 W Ann Arbor Trl Ste 220, Plymouth, MI 481706224 | 8669910900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548874274 | Zachary Jacob Jackson | Dentist | 1667 Cochrane Cir Bldg 7495, Fort Carson, CO 80913-4603 | 2020-09-01 |
| 1497390744 | Zachary Jackson | Physical Medicine & Rehabilitation | 23008 56th Ave W, Mountlake Terrace, WA 98043-4754 | 2019-11-11 |
| Street Address |
2205 S MAIN ST |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88005-3113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558322693 | Tudur Gwyn Thomas | Physical Therapist | 2205 S Main St, Las Cruces, NM 88005-3113 | 2006-03-29 |
| 1992267876 | Katlin Michele Nicholson | Physical Therapist | 2205 S Main St, Las Cruces, NM 88005-3113 | 2019-04-01 |
| 1124569926 | Kersti Marusich | Physical Therapist | 2205 S Main St, Las Cruces, NM 88005-3113 | 2017-03-13 |
| 1720474588 | Mesilla Valley Physical Therapy | Physical Therapist | 2205 S Main St, Las Cruces, NM 88005-3113 | 2015-04-08 |
| 1881032241 | Ryan Denji Kono | Physical Therapist | 2205 S Main St, Las Cruces, NM 88005-3113 | 2013-06-07 |
| 1891132981 | Georgina Ramirez | Counselor | 2205 S Main St, Las Cruces, NM 88005-3113 | 2013-05-29 |
| 1295171312 | Leah Mitchell | Counselor | 2205 S Main St, Las Cruces, NM 88005-3113 | 2013-05-15 |
| 1457693343 | Audralee Scofield | Counselor | 2205 S Main St, Las Cruces, NM 88005-3113 | 2013-03-19 |
| 1689915613 | Ysella Tovar | Counselor | 2205 S Main St, Las Cruces, NM 88005-3113 | 2013-03-15 |
| 1942541974 | Claire Cortner | Counselor | 2205 S Main St, Las Cruces, NM 88005-3113 | 2013-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871158345 | Raymond Pope Stewart Jr. | Community Health Worker | 9999 W. Amador Avenue, Ste. A, Las Cruces, NM 88005 | 2019-05-09 |
| 1538638481 | Jennifer Mcafee | Social Worker | 3100 Oak St. Las Cruces, Nm, Las Cruces, NM 88005 | 2018-11-21 |
| 1023583226 | Richard Flores | Physical Therapist | 1090 Med Park Dr., Las Cruces, NM 88005 | 2018-10-04 |
| 1558850834 | Connections Therapy, Inc. | Counselor | 225 E Idaho Ave Ste 25, Las Cruces, NM 88005 | 2018-05-02 |
| 1982134771 | Madalyn Elyse Sprague | Behavior Technician | 1007 Ellendale Dr, Las Cruces, NM 88005 | 2017-06-14 |
| 1043766249 | Leandra Gabrielle Abeyta | Registered Nurse | 2363 W University Ave, Las Cruces, NM 88005 | 2016-08-28 |
| 1790172641 | Amistad Milestones LLC | Speech-Language Pathologist | 3100 Oak Street, Las Cruces, NM 88005 | 2015-04-17 |
| 1043628753 | Richael Anne Bouvet-jenkins | Social Worker | 755 W. Hadley Avenue, Las Cruces, NM 88005 | 2014-07-25 |
| 1194133801 | Helena Catalina Melendez | Dental Hygienist | 385 Calle Alegra Blg C, Las Cruces, NM 88005 | 2014-07-25 |
| 1447668256 | Cherie O'dell | Specialist | 1758 Highland Ave, Las Cruces, NM 88005 | 2014-07-24 |
| Find all providers in zip 88005 | ||||
| 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 |
|---|---|---|---|---|
| 1457970519 | Cameron Pelletier | Physical Therapist | 3402 Bixler Dr Apt 204, Las Cruces, NM 88012-5108 | 2020-04-09 |
| 1023583226 | Richard Flores | Physical Therapist | 1090 Med Park Dr., Las Cruces, NM 88005 | 2018-10-04 |
| 1437674264 | Border Therapy Services LLC | Physical Therapist | 880 S Telshor Blvd Ste 202, Las Cruces, NM 88011-8601 | 2017-08-14 |
| 1073059374 | Emmaruth Bautista | Physical Therapist | 2330 Nevada Ave Apt 110, Las Cruces, NM 88001-1414 | 2017-01-10 |
| 1578923827 | Jaime Galang Napao Jr. | Physical Therapist | 4663 Arabela Dr, Las Cruces, NM 88012-5049 | 2016-02-29 |
| 1396137006 | Beverly Hammant | Physical Therapist | 1115 Commerce Dr Ste C, Las Cruces, NM 88011-8248 | 2015-03-04 |
| 1275877714 | Colleen Nicole Wismer | Physical Therapist | 2230 Cimarron Dr, Las Cruces, NM 88011-8055 | 2012-11-21 |
| 1881941201 | Teambuilder Counseling Service | Physical Therapist | 2205a S.main St., Las Cruces, NM 88005 | 2012-08-06 |
| 1508111311 | N'joy Physical Therapy,llc | Physical Therapist | 151 N Roadrunner Pkwy, 303, Las Cruces, NM 88011-7019 | 2012-07-18 |
| 1376808592 | Carrie J Swartz | Physical Therapist | 1340 E Lohman Ave, Las Cruces, NM 88001-3159 | 2012-07-13 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88005 |
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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.