CAROLYN E JACKSON (NPI# 1750779187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750779187 |
| Entity Type | Individual |
| Full Name | CAROLYN E JACKSON |
| Practice Address |
737 Se Main St Ste 200 Simpsonville SC 29681-3262 |
| Mailing Address |
790 Remington Blvd Bolingbrook IL 60440-4909 |
| Practice Telephone | 8644546670 |
| Practice Fax Number | 8644546675 |
| Mailing Telephone | 6302962223 |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2016-04-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 8118 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225100000X | Physical Therapist | 15382 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417428251 | Carolyn Jackson | Registered Nurse | 12502 Beauline Abbey St, Tomball, TX 77377-9017 | 2018-12-05 |
| 1407223233 | Carolyn Jackson | Dietitian, Registered | 1139 Yale Pl, Charlotte, NC 28209-1437 | 2015-08-27 |
| 1386984284 | Carolyn Ann Jackson | Registered Nurse | 926 Perry Ave, Dillon, SC 29536-4734 | 2013-03-01 |
| 1689805657 | Carolyn Denise Jackson | Counselor | 3205 Randall Pkwy Ste 121, Wilmington, NC 28403 | 2009-08-07 |
| 1356453591 | Carolyn Marie Jackson | Social Worker | 380 E Fort Lowell Rd Ste 120, Tucson, AZ 85705-3981 | 2006-08-31 |
| 1023063823 | Carolyn A Jackson | Nurse Practitioner | 37984 Airport Rd, Woodsfield, OH 43793-9247 | 2006-05-23 |
| 1568972065 | Carolyn Louise Jackson | Case Manager/Care Coordinator | 6666 Green Valley Cir, Culver City, CA 90230-7068 | 2017-10-10 |
| 1740723972 | Carolyn Jackson | In Home Supportive Care | 301 Main St Ste 2200, Baton Rouge, LA 70801-0014 | 2016-11-20 |
| 1821460742 | Carolyn Jackson | Social Worker | 11616 Southfork Ave, Baton Rouge, LA 70816-5241 | 2015-10-30 |
| 1780074294 | Carolyn Anece Jackson | Occupational Therapist | 2450 Riverside Ave, R102, Minneapolis, MN 55454-1450 | 2015-02-04 |
| Street Address |
737 SE MAIN ST STE 200 |
| City | SIMPSONVILLE |
| State | SC |
| Zip Code | 29681-3262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851858013 | The Tot Spot of South Carolina | Dentist | 1334 S. Hwy 14, Simpsonville, SC 29681 | 2019-02-25 |
| 1194206540 | Lynnette Kathleen Beyerle | Nurse Practitioner | 227 N Main Street, Simpsonville, SC 29681 | 2018-08-23 |
| 1477030070 | Mena M Melek | Pharmacist | 115 Sc-14, Simpsonville, SC 29681 | 2018-07-26 |
| 1437673423 | Abby Elizabeth Meagher | Nurse Practitioner | 1338 South Carolina Highway 14, Simpsonville, SC 29681 | 2017-08-01 |
| 1326586447 | Brooke Huffman | Speech-Language Pathologist | 5 Moorgate Dr, Simpsonville, SC 29681 | 2017-02-09 |
| 1053869818 | A Ray of Sunshine | Home Health | 216 Chickamauga Ln, Simpsonville, SC 29681 | 2016-09-21 |
| 1679924195 | Guardian Angels of The Upstate | Licensed Practical Nurse | 117 Fairview Pointe Dr, Simpsonville, SC 29681 | 2016-06-27 |
| 1033560552 | Jimetta Littlejohn | Licensed Practical Nurse | 117 Fairview Pointe Drive, Simpsonville, SC 29681 | 2016-06-27 |
| 1932597473 | Peace and Comfort Care LLC, Home Health | Home Health | 3106 Bethel Rd Unit 55, Simpsonvill, SC 29681 | 2015-01-07 |
| 1093136830 | Kidbuilders LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 203 N. Maple St, Suite 8, Simpsonville, SC 29681 | 2013-12-20 |
| Find all providers in zip 29681 | ||||
| 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 |
|---|---|---|---|---|
| 1114570264 | Total Therapy Services | Physical Therapist | 544 Harrison Bridge Rd, Simpsonville, SC 29680-7003 | 2019-07-18 |
| 1124508023 | Rachel Arthur | Physical Therapist | 719 Se Main St Ste C, Simpsonville, SC 29681-3237 | 2018-08-20 |
| 1013496645 | Megan Elaine Johnson | Physical Therapist | 1 Paranor Dr, Simpsonville, SC 29681-4555 | 2018-08-14 |
| 1073090833 | Holly Nichole Chittenden | Physical Therapist | 727 Se Main St Ste 200, Simpsonville, SC 29681-3262 | 2018-07-25 |
| 1023500758 | Charlotte Walter | Physical Therapist | 100 Allawood Ct # 110, Simpsonville, SC 29681-6207 | 2018-05-30 |
| 1679089387 | Body Works Physical Therapy, LLC | Physical Therapist | 404 River Summit Dr, Simpsonville, SC 29681-6566 | 2017-12-18 |
| 1821514860 | Stephanie Leigh Peterson | Physical Therapist | 1029 Powderhorn Rd, Simpsonville, SC 29681-3379 | 2017-08-22 |
| 1992221071 | Christopher Adam Terrell | Physical Therapist | 425 River Summit Dr, Simpsonville, SC 29681-6566 | 2017-08-21 |
| 1154791085 | Jil Jones Cooke | Physical Therapist | 121 Ridgeleigh Way, Simpsonville, SC 29681-6617 | 2015-10-05 |
| 1558737098 | Tonya Miller | Physical Therapist | 232 Hunters Pointe Pl, Simpsonville, KY 40067-6693 | 2015-08-19 |
| Find all providers in SIMPSONVILLE | ||||
| City | SIMPSONVILLE |
| Zip Code | 29681 |
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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.