BRANDI L JACKSON (NPI# 1447209630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447209630 |
| Entity Type | Individual |
| Full Name | BRANDI L JACKSON |
| Other Name | BRANDI L KEBACH |
| Credential | DPT |
| Practice Address |
5501 Nw 62nd Ter Ste 102 Kansas City MO 64151-2411 |
| Practice Telephone | 8164534485 |
| Practice Fax Number | 8164534101 |
| Mailing Telephone | 8164534485 |
| Mailing Fax Number | 8164534101 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2015-11-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 11-03206 | KS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225100000X | Physical Therapist | 2002030223 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033720701 | Brandi Jackson | Nurse Practitioner | Tennessee Valley Pediatrics, 234 Keller Park, Tuscumbia, AL 35674 | 2020-08-14 |
| 1912186321 | Brandi Rochelle Jackson | Dentist | 11223 Davinci Dr, Davidson, NC 28036-7799 | 2007-11-01 |
| 1316406747 | Brandi Jackson | Physical Therapist | 2572 E South Weber Dr Ste 5, South Weber, UT 84405-9550 | 2019-03-15 |
| 1356817050 | Brandi Jackson | Nurse Practitioner | 910 E Houston St Ste 100, Tyler, TX 75702-8363 | 2018-10-19 |
| 1154803104 | Brandi Lynette Jackson | Behavior Technician | 5300 Lennox Ave, Bakersfield, CA 93309-1662 | 2018-09-05 |
| 1255793501 | Brandi Nicole Jackson | Counselor | 22505 Woodroe Ave, Hayward, CA 94541-3410 | 2016-03-25 |
| 1376927830 | Brandi Jackson | Case Manager/Care Coordinator | 245 E 680 S, Cedar City, UT 84720-3593 | 2015-07-15 |
| 1568853984 | Brandi Jackson | Psychiatry & Neurology | 912 S Wood St, Chicago, IL 60612-4300 | 2015-02-06 |
| Street Address |
5501 NW 62ND TER STE 102 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64151-2411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073570487 | Clay Platte Family Medicine Clinic | Durable Medical Equipment & Medical Supplies | 5501 Nw 62nd Ter, Suite 100, Kansas City, MO 64151-2411 | 2006-04-28 |
| 1255728986 | Optimum Physical Therapy & Performance Center, LLC | Physical Therapist | 5501 Nw 62nd Ter, Ste 102, Kansas City, MO 64151-2411 | 2015-04-21 |
| 1669720173 | Kansas City Metropolitan Physician Association | Family Medicine | 5501 Nw 62nd Ter, Suite 100, Kansas City, MO 64151-2411 | 2012-08-15 |
| 1235422270 | Bernard Gene Bruns | Dentist | 5501 Nw 62nd Ter, Suite 101, Kansas City, MO 64151-2411 | 2011-05-24 |
| 1396066353 | Lindsey B Coffman | Dietitian, Registered | 5501 Nw 62nd Ter, Suite 100, Kansas City, MO 64151-2411 | 2010-06-14 |
| 1457594921 | Duana Charis Meseyton | Family Medicine | 5501 Nw 62nd Ter, Suite 100, Kansas City, MO 64151-2411 | 2009-04-14 |
| 1023251949 | Heather Renee Bollinger | Family Medicine | 5501 Nw 62nd Ter, Kansas City, MO 64151-2411 | 2009-04-07 |
| 1477732469 | Tyler M Tunks | Physical Therapist | 5501 Nw 62nd Ter, Ste 102, Kansas City, MO 64151-2411 | 2007-10-26 |
| 1619168051 | Adrian J Delaney IIi | Family Medicine | 5501 Nw 62nd Ter, Suite 100, Kansas City, MO 64151-2411 | 2007-08-08 |
| 1093870263 | David L. Vantasell | Dentist | 5501 Nw 62nd Ter, Suite 101, Kansas City, MO 64151-2411 | 2006-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861033813 | Jonene Jaynes | Technician | 5002 Nw Martin Dr, Platte County, MO 64151 | 2019-10-01 |
| 1033636956 | Autism Support Now, LLC | Behavioral Analyst | 6500 Nw Tower Drive, Suite 100, Platte Woods, MO 64151 | 2017-08-23 |
| 1699205211 | Alma C Batchelor | Behavior Technician | 5863 Nw 72nd Street, Kansas City, MO 64151 | 2017-06-15 |
| 1588015291 | Freedom Care, LLC | Home Health Aide | 5727 N. Ames Ave, Kansas, MO 64151 | 2016-06-23 |
| 1164701827 | Richard Alan Pelaar | Counselor | 5000 Nw Waukomis Drive, E, Kansas City, MO 64151 | 2011-08-12 |
| 1013238708 | Kodi Lee Watson | Dietitian, Registered | 8301 N St. Clair Ave, Kansas City, MO 64151 | 2010-06-16 |
| 1821296294 | Andy Mackey | Durable Medical Equipment & Medical Supplies | 5100 Nw Waukomis, Northmoor, MO 64151 | 2007-07-06 |
| 1629138185 | George Thomas Mcneish II | Dentist | 6500 Nw Tower Dr, 6500 Nw Tower Dr, Kansas City, MO 64151 | 2006-12-12 |
| 1649345091 | Comfort Plus Shoes & Footcare | Durable Medical Equipment & Medical Supplies | 8351 Nw Barrybrooke Drive, Kansas City, MO 64151 | 2006-11-21 |
| 1457456931 | Steve Bull Cain | Dentist | 7120 Nw Prairie View Rd, Kansas City, MO 64151 | 2006-09-13 |
| Find all providers in zip 64151 | ||||
| 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 |
|---|---|---|---|---|
| 1174139778 | Nicole Weaver | Physical Therapist | 5775 Nw 64th Ter Ste 101, Kansas City, MO 64151-3945 | 2020-09-18 |
| 1649883869 | Jena Marie Brophy | Physical Therapist | 2 Emanuel Cleaver II Blvd, Kansas City, MO 64112-1654 | 2020-08-27 |
| 1205445780 | Jordan Barr | Physical Therapist | 1000 E 68th Street, Kansas City, MO 64131 | 2020-07-30 |
| 1689296865 | Bethany Peterson | Physical Therapist | 701 E 63rd St Ste G10, Kansas City, MO 64110-3305 | 2020-05-11 |
| 1821620857 | Max Powers | Physical Therapist | 6311 N Cosby Ave, Kansas City, MO 64151-2344 | 2020-02-07 |
| 1316587884 | Abdalghani A Yahya | Physical Therapist | 4148 Booth Pl Apt 1, Kansas City, KS 66103-3151 | 2020-01-13 |
| 1861033888 | Athletico Ltd | Physical Therapist | 4029 Mill St, Kansas City, MO 64111-3008 | 2019-10-01 |
| 1073161675 | Erica Pruett | Physical Therapist | 601 E 63rd St Ste 230, Kansas City, MO 64110-3303 | 2019-08-28 |
| 1043862329 | Khoa Lam | Physical Therapist | 3514 Jefferson St # St307, Kansas City, MO 64111-2803 | 2019-07-16 |
| 1912464199 | Christie Peterfish | Physical Therapist | 4400 Broadway Ste 408, Kansas City, MO 64111-3342 | 2019-02-25 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64151 |
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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.