TIMOTHY JACKSON (NPI# 1538512520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538512520 |
| Entity Type | Individual |
| Full Name | TIMOTHY JACKSON |
| Practice Address |
97 Gateway Business Park Dr Ringgold GA 30736-7395 |
| Mailing Address |
790 Remington Blvd Bolingbrook IL 60440-4909 |
| Practice Telephone | 7069375771 |
| Practice Fax Number | 7069373724 |
| Mailing Telephone | 6302962223 |
| Mailing Fax Number | 6307599510 |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2017-02-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 10883 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225100000X | Physical Therapist | 012680 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124338504 | Timothy Lawrence Jackson | Physician Assistant | 2722 N Mariah Way, Flagstaff, AZ 86004-7550 | 2010-10-19 |
| 1972610947 | Timothy Michael Jackson | Dentist | 982 Drayton Avenue, Elba, AL 36323 | 2006-08-24 |
| 1255444766 | Timothy K Jackson | Internal Medicine | 710 Genesis Blvd, Bridgeport, WV 26330-9668 | 2006-08-17 |
| 1982623625 | Timothy L Jackson | Physician Assistant | 5249 Providence Rd, Virginia Beach, VA 23464-4201 | 2006-07-19 |
| 1093710089 | Timothy D Jackson | Orthopaedic Surgery | 12080 New Orleans Ave N, Gulfport, MS 39503-3180 | 2005-06-16 |
| 1710473368 | Timothy Jackson | Registered Nurse | 1644 Central Ave, Mckinleyville, CA 95519-4342 | 2018-07-06 |
| 1336634641 | Timothy Jackson | Social Worker | 3820 Nine Mile Rd, Richmond, VA 23223-4831 | 2018-06-28 |
| 1538485396 | Timothy William Jackson | Counselor | 115 Liberty St, Bath, NY 14810-1508 | 2010-04-19 |
| 1598997751 | Timothy William Jackson | Physical Therapist | 8918 Blakeney Professional Dr, Suite 120, Charlotte, NC 28277-6691 | 2009-08-20 |
| 1679704001 | Timothy D Jackson | Surgery | Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 | 2009-08-03 |
| Street Address |
97 GATEWAY BUSINESS PARK DR |
| City | RINGGOLD |
| State | GA |
| Zip Code | 30736-7395 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003113366 | Matthew Timothy Murray | Specialist | 97 Gateway Business Park Dr, Ringgold, GA 30736-7395 | 2011-02-23 |
| 1891305538 | Hannah P Lively | Physical Therapist | 97 Gateway Business Park Dr, Ringgold, GA 30736-7395 | 2020-08-07 |
| 1912428566 | Elizabeth Phelps | Physical Therapist | 97 Gateway Business Park Dr, Ringgold, GA 30736-7395 | 2017-07-05 |
| 1003337270 | Emily R Dearing | Physical Therapist | 97 Gateway Business Park Dr, Ringgold, GA 30736-7395 | 2017-06-28 |
| 1972953578 | Ryan Passmore | Physical Therapist | 97 Gateway Business Park Dr, Ringgold, GA 30736-7395 | 2016-06-15 |
| 1609117936 | Jason Jones | Physical Therapist | 97 Gateway Business Park Dr, Ringgold, GA 30736-7395 | 2013-03-12 |
| 1245577485 | Matthew Tyler Douglas | Physical Therapist | 97 Gateway Business Park Dr, Ringgold, GA 30736-7395 | 2013-01-08 |
| 1285992727 | Cory B Nethery | Physical Therapy Assistant | 97 Gateway Business Park Dr, Ringgold, GA 30736-7395 | 2012-05-02 |
| 1639457989 | Katherine Wallace Dowdle | Physical Therapist | 97 Gateway Business Park Dr, Ringgold, GA 30736-7395 | 2011-08-03 |
| 1568740629 | Kelly Marie Langan | Physical Therapist | 97 Gateway Business Park Dr, Ringgold, GA 30736-7395 | 2011-07-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649746132 | K -va -t Food Stores Inc | Durable Medical Equipment & Medical Supplies | 150 Highway 41, Ringgold, GA 30736 | 2018-10-23 |
| 1033693536 | Daniel Travis | Occupational Therapist | 4725 Battlefield Pkwy, Ringgold, GA 30736 | 2018-09-20 |
| 1124505458 | Publix Super Markets, Inc. | Pharmacy | 3775 Battlefield Pkwy, Ringgold, GA 30736 | 2018-07-19 |
| 1992202840 | Benjamin Travanta Oliver | Physician Assistant | 45 College Park Dr Ste A, Ringgold, GA 30736 | 2018-04-08 |
| 1891299970 | Zach Walker | Chiropractor | 6715 Us-41, Ringgold, GA 30736 | 2018-03-22 |
| 1871095331 | Chattanooga Orthopaedic Group, PC | Orthopaedic Surgery | 4725 Battlefield Parkway, Ringgold, GA 30736 | 2018-03-01 |
| 1871043711 | Kristen Connell Schulz | Counselor | 4083 Cloud Springs Road, Ringgold, GA 30736 | 2016-10-04 |
| 1467862649 | Alicia Daniels Dyer | Pediatrics | Chi Memorial Pediatric Diagnostic Associates, 4700 Battlefield Parkway, Suite 230, Ringgold, GA 30736 | 2014-04-28 |
| 1669899563 | Alford Leon Dyer IIi | Pediatrics | 4700 Battlefield Parkway, Suite 230, Chi Memorial Pediatric Diagnostic Associates, Ringgold, GA 30736 | 2014-03-28 |
| 1790065233 | Megan Potts Brown | Family Medicine | 45 College Park Dr, Ringgold, GA 30736 | 2011-08-27 |
| Find all providers in zip 30736 | ||||
| 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 |
|---|---|---|---|---|
| 1841719473 | Jenifer Lynn Reid | Physical Therapist | 7734 Nashville St, Ringgold, GA 30736-2304 | 2017-09-14 |
| 1285952903 | Michael Eric Garrard | Physical Therapist | 3565 Saunders Rd, Ringgold, GA 30736-4029 | 2010-05-05 |
| 1407187594 | Christopher M Cowan | Physical Therapist | 123 Battlefield Crossing Ct, Ringgold, GA 30736-5176 | 2010-01-29 |
| 1588838304 | Monica Riley Burdette | Physical Therapist | 125 Molly Ln, Ringgold, GA 30736-6739 | 2008-04-14 |
| 1255499414 | Sharon E Minnick | Physical Therapist | 36 Carriage Dr, Ringgold, GA 30736-5884 | 2006-12-04 |
| 1891305538 | Hannah P Lively | Physical Therapist | 97 Gateway Business Park Dr, Ringgold, GA 30736-7395 | 2020-08-07 |
| 1912428566 | Elizabeth Phelps | Physical Therapist | 97 Gateway Business Park Dr, Ringgold, GA 30736-7395 | 2017-07-05 |
| 1003337270 | Emily R Dearing | Physical Therapist | 97 Gateway Business Park Dr, Ringgold, GA 30736-7395 | 2017-06-28 |
| 1972953578 | Ryan Passmore | Physical Therapist | 97 Gateway Business Park Dr, Ringgold, GA 30736-7395 | 2016-06-15 |
| 1871910562 | Nicholas Sorensen | Physical Therapist | 123 Battlefield Crossing Ct, Ringgold, GA 30736-5176 | 2014-03-20 |
| Find all providers in RINGGOLD | ||||
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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.