JACKSON THERAPY (NPI# 1740678242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740678242 |
| Entity Type | Organization |
| Organization Name | JACKSON THERAPY |
| Practice Address |
109 Leaf Ln Hollidaysburg PA 16648-1037 |
| Practice Telephone | 8142014059 |
| Mailing Telephone | 8142014059 |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2015-01-06 |
| Authorized Official Name | MR. BRIAN LANINFA (RECRUITER) |
| Authorized Official Telephone | 4073083874 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124421631 | Jackson Therapy | Early Intervention Provider Agency | 849 S Gun Barrel Ln # Lm, Unit G5, Gun Barrel City, TX 75156-9335 | 2014-09-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Jackson Therapy Partners LLC | 2655 Northwinds Parkway, Alpharetta, Georgia 30009 |
| Iowa Business Entities | JACKSON THERAPY PARTNERS, LLC | 2655 Northwinds Parkway, Alpharetta, GA 30009 |
| Oregon Corporations, Companies and Business Names | JACKSON THERAPY PARTNERS, LLC | 2655 Northwinds Parkway, Alpharetta, GA 30009 |
| Vermont Business Registrations | JACKSON THERAPY PARTNERS, LLC | 2655 Northwinds Parkway, Alpharetta, GA 30009 |
| Washington State Corporations | JACKSON THERAPY PARTNERS, LLC | 2655 Northwinds Pkwy, Alpharetta, DC 30009-2280 |
| Street Address |
109 LEAF LN |
| City | HOLLIDAYSBURG |
| State | PA |
| Zip Code | 16648-1037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578021846 | Jennifer Walter | Social Worker | 411 N. Montgomery Street, Hollidaysburg, PA 16648 | 2019-03-06 |
| 1699242594 | Pasquale Vincent Longhi | Pharmacist | 510 Blair Street, Hollidaysburg, PA 16648 | 2018-10-29 |
| 1750872941 | Healing Space LLC | Counselor | Healing Space LLC, 206 B Allegheny Street, Hollidaysburg, PA 16648 | 2018-05-23 |
| 1790133098 | Corey Patrick Gildea | Physical Therapist | 225 Allegheny St Ste 3, Hollidaysburg, PA 16648 | 2016-05-26 |
| 1891160818 | Carly Raymond | Speech-Language Pathologist | 3328 Sylvan Heights Drive, Hollidaysburg, PA 16648 | 2015-12-02 |
| 1821499187 | Rite Aid of Pennsylvania LLC | Durable Medical Equipment & Medical Supplies | 1201 Blair Street, Hollidaysburg, PA 16648 | 2014-09-05 |
| 1669872198 | Central Pennsylvania Digital Learning Foundation | Local Education Agency (LEA) | 721 North Juniata Street, Suite 3, Hollidaysburg, PA 16648 | 2014-09-03 |
| 1912279514 | Kathleen J Lower | Licensed Practical Nurse | 118 Mountain View Dr., Hollidaysburg, PA 16648 | 2012-01-30 |
| 1588932743 | Annette Patterson | Nurse Anesthetist, Certified Registered | 901 Logan Blvd, Hollidaysburg, PA 16648 | 2011-12-02 |
| 1053692400 | Eugene Polmueller | Psychiatry & Neurology | 110 Middle Ridge Road, Hollidaysburg, PA 16648 | 2011-08-30 |
| Find all providers in zip 16648 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970689 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 1575 North 25nd Street, Philadelphia, PA 19131 | 2020-10-21 |
| 1174120448 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 14953 Kutztown Rd Ste 1, Kutztown, PA 19530-8381 | 2020-10-08 |
| 1558979328 | Phs Physical Therapy, LLC | Clinic/Center | 2201 Brunswick Dr Ste 2400, Hanover, PA 17331-8350 | 2020-07-17 |
| 1043835705 | Reeves Physical Therapy LLC | Clinic/Center | 509 Spring Garden St, Philadelphia, PA 19123-2820 | 2020-06-09 |
| 1235751264 | Keystone Rehabilitation Systems, Inc. | Clinic/Center | 289 Cetronia Rd Unit 102, Allentown, PA 18104-9223 | 2020-05-13 |
| 1770105082 | Institute for Cognitive Prosthetics Inc | Clinic/Center | 346 Llandrillo Rd, Bala Cynwyd, PA 19004-2335 | 2020-05-08 |
| 1245877430 | Rehabclinics (spt), Inc. | Clinic/Center | 255 Main St Ste 120, King of Prussia, PA 19406-1509 | 2019-12-06 |
| 1457994253 | Phs Physical Therapy, LLC | Clinic/Center | 5815 York Rd, New Oxford, PA 17350-9464 | 2019-10-24 |
| 1710537097 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 19 W Highland Ave, Philadelphia, PA 19118-3309 | 2019-09-18 |
| 1902453343 | Rehabclinics (spt), Inc. | Clinic/Center | 2721 Street Rd Ste 2735, Bensalem, PA 19020-2810 | 2019-08-21 |
| Find all providers with the same taxonomy | ||||
| City | HOLLIDAYSBURG |
| Zip Code | 16648 |
Please comment or provide details below to improve the information on JACKSON THERAPY.
| 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.