CHARLENE J. JACKSON (NPI# 1417073552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417073552 |
| Entity Type | Individual |
| Full Name | CHARLENE J. JACKSON |
| Credential | PT |
| Practice Address |
416 W 27th St Ashtabula OH 44004-4975 |
| Practice Telephone | 4409975427 |
| Practice Fax Number | 4409975486 |
| Mailing Telephone | 4409975427 |
| Mailing Fax Number | 4409975486 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2012-04-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT01263 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0747777 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487105458 | Charlene Rene Jackson | Technician, Other | 18029 Stephens Dr, Eastpointe, MI 48021-1810 | 2016-10-14 |
| 1073919379 | Charlene Jackson | Case Manager/Care Coordinator | 236 1/2 W 57th St, Los Angeles, CA 90037-4199 | 2014-11-13 |
| 1528174109 | Charlene Dawn Jackson | Kinesiotherapist | 1 Freedom Way # 294, Augusta, GA 30904-6258 | 2006-08-23 |
| 1093321838 | Charlene Jackson | Community Health Worker | 202 E Bagley Rd, Berea, OH 44017-2058 | 2020-09-17 |
| 1134759855 | Charlene Marie Jackson | Early Intervention Provider Agency | 1000 W Broadway St Ste 214, Oviedo, FL 32765-9262 | 2020-01-22 |
| 1689994683 | Charlene Jackson | Licensed Practical Nurse | 2075 Ripley St, Lake Station, IN 46405-1161 | 2010-06-02 |
| 1245419472 | Charlene Marie Jackson | Technician | 800 Scenic Dr, Modesto, CA 95350-6131 | 2007-10-24 |
| Street Address |
416 W 27TH ST |
| City | ASHTABULA |
| State | OH |
| Zip Code | 44004-4975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023010881 | Seeds Orthopaedics, Inc | Orthopaedic Surgery | 416 W 27th St, Ashtabula, OH 44004-4975 | 2005-08-11 |
| 1629454228 | Kenneth Nicholas Hoopes | Specialist | 416 W 27th St, Ashtabula, OH 44004-4975 | 2015-08-05 |
| 1780060392 | Kasey Lynn Hoopes | Specialist | 416 W 27th St, Ashtabula, OH 44004-4975 | 2015-08-05 |
| 1629461082 | Lisa Bean | Nurse Practitioner | 416 W 27th St, Ashtabula, OH 44004-4975 | 2015-03-10 |
| 1164813044 | Samantha Rae Ryan | Physician Assistant | 416 W 27th St, Ashtabula, OH 44004-4975 | 2015-02-12 |
| 1851578157 | Outreach Professional Services Inc. | Orthopaedic Surgery | 416 W 27th St, Ashtabula, OH 44004-4975 | 2008-01-29 |
| 1588687297 | Steven Walker | Physical Therapist | 416 W 27th St, Ashtabula, OH 44004-4975 | 2006-07-25 |
| 1275535718 | William Asa Seeds | Orthopaedic Surgery | 416 W 27th St, Ashtabula, OH 44004-4975 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174167050 | Jack Lemmon | Physical Therapist | 2515 Lake Rd E, Ashtabula, OH 44004 | 2019-11-04 |
| 1871060608 | Ahmed Shahata | Obstetrics & Gynecology | Ashtabula County Medical Center/obgyn Dept, 2420 Lake Ave, Ashtabula, OH 44004 | 2018-10-30 |
| 1861999013 | Thomas Webber | Counselor | 2801 C. Court, Ashtabula, OH 44004 | 2018-04-12 |
| 1942702428 | Troy Mills | Hearing Instrument Specialist | 2604 West Prospect Rd, Ashtabula, OH 44004 | 2018-03-01 |
| 1598294886 | Howard Edward Loftus Jr. | Counselor | 4726 Main Ave., Ashtabula, OH 44004 | 2017-06-08 |
| 1861928087 | Hannah Woods | Physical Therapist | 3720 N Ridge Road W, Ashtabula, OH 44004 | 2017-05-08 |
| 1376095422 | Lantern of Saybrook | Assisted Living Facility | 3720 North Ridge Road West, Ashtabula, OH 44004 | 2016-10-25 |
| 1801346366 | Melissa Marie Holland | Licensed Practical Nurse | 2124 W Prospect Rd, Ashtabula, OH 44004 | 2016-10-09 |
| 1184080087 | Kevin M Welsh | Speech-Language Pathologist | 2240 Wade Ave, Ashtabula, OH 44004 | 2016-01-07 |
| 1285021709 | David Hefner | Early Intervention Provider Agency | 600 State Road, Ashtabula, OH 44004 | 2015-04-22 |
| Find all providers in zip 44004 | ||||
| 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 |
|---|---|---|---|---|
| 1174167050 | Jack Lemmon | Physical Therapist | 2515 Lake Rd E, Ashtabula, OH 44004 | 2019-11-04 |
| 1821571787 | Rachel Wymer | Physical Therapist | 3705 State Rd # 102, Ashtabula, OH 44004-5957 | 2018-09-07 |
| 1861928087 | Hannah Woods | Physical Therapist | 3720 N Ridge Road W, Ashtabula, OH 44004 | 2017-05-08 |
| 1356408876 | Marcia L Wickwire | Physical Therapist | 2515 Lake Ave, Ashtabula, OH 44004-4955 | 2007-01-03 |
| 1619055969 | Marc Thomas Crawford | Physical Therapist | 600 State Rd, Ashtabula, OH 44004-3933 | 2006-11-02 |
| 1922054113 | David Sparks | Physical Therapist | 2887 N Ridge E, Ashtabula, OH 44004-4134 | 2006-05-26 |
| 1760489413 | Stephen Gerald Wychock | Physical Therapist | 607 Lake Ave, Ashtabula, OH 44004-3262 | 2005-07-07 |
| 1578164109 | Tiffany Hughes | Physical Therapist | 3720 N Ridge Rd W, Ashtabula, OH 44004-6366 | 2020-11-02 |
| 1972152718 | Emily Rhea Minton | Physical Therapist | 3705 State Rd, Ashtabula, OH 44004-5957 | 2019-09-04 |
| 1467008037 | Cody Blood | Physical Therapist | 2420 Lake Ave, Ashtabula, OH 44004-4954 | 2019-08-10 |
| Find all providers in ASHTABULA | ||||
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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.