MRS. CHARLENE DAWN JACKSON (NPI# 1528174109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528174109 |
| Entity Type | Individual |
| Full Name | MRS. CHARLENE DAWN JACKSON |
| Credential | RKT |
| Practice Address |
1 Freedom Way # 294 Augusta GA 30904-6258 |
| Practice Telephone | 7067330188 |
| Practice Fax Number | 7067317861 |
| Mailing Telephone | 7067330188 |
| Mailing Fax Number | 7067317861 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 226300000X | Kinesiotherapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| 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 |
| 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 |
| 1417073552 | Charlene J. Jackson | Physical Therapist | 416 W 27th St, Ashtabula, OH 44004-4975 | 2007-03-21 |
| Street Address |
1 FREEDOM WAY # 294 |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30904-6258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423706 | Lawren Murray Tachias | Registered Nurse | 950 15th Street Downtown, Augusta, GA 30904 | 2019-02-13 |
| 1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
| 1124552690 | Jenny Liles | Student in an Organized Health Care Education/Training Program | 1004 Chafee Ave, Augusta, GA 30904 | 2017-04-11 |
| 1932640836 | Claudia Crawford | Student in an Organized Health Care Education/Training Program | 2624 Oakland Ave., Augusta, GA 30904 | 2017-03-13 |
| 1801240528 | F. Marion Durst IIi Dmd PC | Clinic/Center | 2325 Washington Road, Augusta, GA 30904 | 2016-04-19 |
| 1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
| 1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
| 1760855241 | Chase King | Occupational Therapist | 1735 Berkeley Rd, Augusta, GA 30904 | 2015-11-05 |
| 1962832246 | April Underwood Fox | Physician Assistant | 1417 Pendleton Rd, Augusta, GA 30904 | 2013-11-22 |
| 1861734378 | John Graham Theisen | Obstetrics & Gynecology | 810 Chafee Avenue, Augusta, GA 30904 | 2013-03-22 |
| Find all providers in zip 30904 | ||||
| Taxonomy Code | 226300000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Kinesiotherapist |
| A provider trained and educated in the applied science of medically prescribed therapeutic exercise, education and adapted physical activities designed to improve the quality of line and health of adults and children by developing physical fitness, increasing mobility and independence, and improving psychosocial behavior. The kinesiotherapist seeks a coach-player relationship in which he/she helps the patient/client reach the goal of becoming an independent, self-sustaining person. Kinesiotherapists, as compared with physical therapists, put more emphasis on geriatric care, reconditioning and fitness, and psychiatric care. A large percentage of kinesiotherapists practice in Veterans Administration hospitals. |
| Notes: Source: The Kinesiotherapy Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598851164 | Denard Brown | Kinesiotherapist | 1freedom Way, Augusta, GA 30904 | 2006-10-04 |
| 1255447876 | Faye S Anderson-mathis | Kinesiotherapist | 2230 Walden Dr, Augusta, GA 30904-6509 | 2006-08-23 |
| 1225050602 | Paul David Whitten | Kinesiotherapist | 1 Freedom Way, Augusta, GA 30904-6258 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801415351 | Dewight Carruth | Kinesiotherapist | 1624 Lexington Cir, Valdosta, GA 31602-5700 | 2020-04-14 |
| 1801062450 | Almon Thompson | Kinesiotherapist | 5506 Stoneleigh Ct, Stone Mountain, GA 30088-3433 | 2008-05-04 |
| 1720170608 | Teia D. Vaughn | Kinesiotherapist | 2003 Rivershyre Dr, Evans, GA 30809-5285 | 2006-09-29 |
| 1508972126 | Eddison J. Smith, Jr. | Kinesiotherapist | 2010 Teal Ct, Hephzibah, GA 30815-7998 | 2006-08-23 |
| 1801445705 | David Wright | Kinesiotherapist | 1755 Grassland Pkwy, Alpharetta, GA 30004-8600 | 2019-09-04 |
| 1205482528 | Richard Alexander Jabardo | Kinesiotherapist | 1755 Grassland Pkwy, Alpharetta, GA 30004 | 2019-08-13 |
| 1619454626 | Seth Prieto | Kinesiotherapist | 1755 Grassland Pkwy Ste B, Alpharetta, GA 30004-8601 | 2018-07-23 |
| 1760969935 | Taylor C'mon Shackelford | Kinesiotherapist | 1755 Grassland Pkwy, Alpharetta, GA 30004 | 2018-07-20 |
| 1588681480 | Karen Jean Penny | Kinesiotherapist | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2006-07-16 |
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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.