MR. THOMAS EUGENE JACKSON (NPI# 1790979292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790979292 |
| Entity Type | Individual |
| Full Name | MR. THOMAS EUGENE JACKSON |
| Credential | PT |
| Practice Address |
830 S. Citrus Ave Suite 203 Azusa CA 91702 |
| Mailing Address |
1327 Mountain View Ave South Pasadena CA 91030-3607 |
| Practice Telephone | 6263396514 |
| Mailing Telephone | 3232559263 |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2007-08-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 9248 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811463334 | Thomas Spencer Jackson | Dentist | 1507 E Lamar Alexander Pkwy, Maryville, TN 37804-5131 | 2018-10-23 |
| 1255698759 | Thomas Jackson | Social Worker | 5240 Creed Dr, Summerfield, NC 27358-8284 | 2012-04-20 |
| 1851628549 | Thomas W Jackson | Dentist | 8160 Perry Hwy, Pittsburgh, PA 15237-5214 | 2009-11-17 |
| 1134380694 | Thomas Michael Jackson | Emergency Medicine | 7 Bitterroot Road, Carmen, ID 83462 | 2008-06-18 |
| 1528181666 | Thomas Burton Jackson | Psychiatry & Neurology | 41750 Rancho Las Palmas Dr Ste D2, Rancho Mirage, CA 92270-5512 | 2007-04-06 |
| 1992827398 | Thomas Jackson | Social Worker | 228 Maple St, Middlebury, VT 05753-1606 | 2007-04-04 |
| 1528117306 | Thomas Boyd Jackson | Social Worker | 5225 Baysdon Cir, Jackson Consultant Services, LLC, Indianapolis, IN 46235-6040 | 2007-01-09 |
| 1245330950 | Thomas E Jackson | Internal Medicine | 47 Maple St #205, Summit, NJ 07901 | 2006-09-23 |
| 1679590137 | Thomas W Jackson | Psychiatry & Neurology | 3010 Beard Rd., Napa, CA 94558 | 2006-07-17 |
| 1306818968 | Thomas Cozatt Jackson Jr. | Family Medicine | 470 Linden Ave, Harrodsburg, KY 40330-1871 | 2006-02-07 |
| Street Address |
830 S. CITRUS AVE SUITE 203 |
| City | AZUSA |
| State | CA |
| Zip Code | 91702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417039926 | Algos Inc., A Medical Corporation | Psychologist | 830 S. Citrus Ave, Suite 201, Azusa, CA 91702 | 2006-10-20 |
| 1114043858 | Azusa Surgery Center LLC | Clinic/Center | 830 S. Citrus Ave, Suite 101, Azusa, CA 91702 | 2007-03-22 |
| 1336270644 | Maria Elani Capistrano | Speech-Language Pathologist | 830 S. Citrus Ave, Suite 203, Azusa, CA 91702 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407345341 | Rosaura Contreras | Nutritionist | 109 West 6th Street, Azusa, CA 91702 | 2018-05-07 |
| 1093224396 | Beatriz Leyva Torres | Nurse Practitioner | 237 S. Vernon Ave, Azusa, CA 91702 | 2017-09-29 |
| 1871949370 | Angela Marie Mckindley | Case Manager/Care Coordinator | 23701 East Fork Rd., Azusa, CA 91702 | 2016-05-13 |
| 1023489846 | Crystal Horton | Case Manager/Care Coordinator | 23701 E Fork Road, Azusa, CA 91702 | 2015-10-20 |
| 1528438272 | Seann Mckay | Case Manager/Care Coordinator | 23701 E Folk Rd, Azusa, CA 91702 | 2015-10-06 |
| 1437528833 | William Clabaugh | Case Manager/Care Coordinator | 830 S. Azusa Ave., 45, Azusa, CA 91702 | 2015-09-16 |
| 1467850693 | Juana Gaeta | Speech-Language Pathologist | 1016 E Ghent St, Azusa, CA 91702 | 2014-12-22 |
| 1649674508 | Colleen Anne Montz | Nurse Practitioner | 901 E. Alosta Ave., Student Health Center, Azusa, CA 91702 | 2014-10-21 |
| 1285061390 | Patrick Ryan Bergeron | Physical Therapist | 900 W Sierra Madre Avenue, #33, Azusa, CA 91702 | 2013-10-03 |
| 1760768972 | Ashley L Wickliffe | Student in an Organized Health Care Education/Training Program | 901 East Alosta Avenue, Azusa, CA 91702 | 2011-11-01 |
| Find all providers in zip 91702 | ||||
| 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 |
|---|---|---|---|---|
| 1417428749 | Lor-shing Hsu | Physical Therapist | 517 N Laurel Valley Dr, Azusa, CA 91702-1847 | 2018-12-16 |
| 1467840876 | Delina Carmella Korbel | Physical Therapist | 625 N Cerritos Ave Apt C, Azusa, CA 91702-3001 | 2015-01-07 |
| 1073911277 | Yoxy Jurado | Physical Therapist | 543 E Arrow Hwy, Apt. 7, Azusa, CA 91702-5754 | 2014-12-21 |
| 1417257684 | Shantel Lagadon Phillips | Physical Therapist | 601 E 8th St Apt 202, Azusa, CA 91702-2585 | 2010-10-21 |
| 1417196817 | Todd Alan Opsvig | Physical Therapist | 830 S Citrus Ave, Azusa, CA 91702-5911 | 2009-02-10 |
| 1346492113 | Daisy Ceniza | Physical Therapist | 784 W Lori Ann Ave, Azusa, CA 91702-1827 | 2008-10-10 |
| 1225232127 | Jayson John Sabio Soria | Physical Therapist | 18126 E Newburgh St, Azusa, CA 91702-5816 | 2007-06-13 |
| 1669572707 | South Pacific Rehabilitation Services, Inc | Physical Therapist | 830 South Citrus Ave, Suite 203, Azusa, CA 91702-5911 | 2006-09-25 |
| 1427096692 | Peter Quan | Physical Therapist | 830 S. Citrus Ave. Suite 203, Azusa, CA 91702 | 2006-06-02 |
| 1427035609 | Ronald Joseph Cervantes | Physical Therapist | 830 S Citrus Ave Ste 203, Azusa, CA 91702-5959 | 2005-12-28 |
| Find all providers in AZUSA | ||||
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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.