KATHY JACKSON (NPI# 1811060379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811060379 |
| Entity Type | Individual |
| Full Name | KATHY JACKSON |
| Credential | PT |
| Practice Address |
10820 Marvin E. Jones Blvd. Live Oak FL 32060 |
| Mailing Address |
373 Ne Gid Jackson Ln Mayo FL 32066 |
| Practice Telephone | 3866585865 |
| Practice Fax Number | 3866585542 |
| Mailing Telephone | 3866585865 |
| Mailing Fax Number | 3866585542 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT17158 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255940391 | Kathy Lorine Jackson | Technician | 2504 Toms Creek Rd, Wayne, WV 25570-9458 | 2020-07-24 |
| 1790175354 | Kathy Jackson | Massage Therapist | 850 W Ironwood Dr Ste 302, Coeur D Alene, ID 83814-4903 | 2015-02-03 |
| 1861835860 | Kathy Melton Jackson | Registered Nurse | 6051 Wescott Rd, Columbia, SC 29212-1408 | 2013-04-10 |
| 1619283595 | Kathy L Jackson | Private Vehicle | 15685 N Iron Bridge Rd, Marshall, IL 62441-4663 | 2010-08-30 |
| 1215971379 | Kathy M Jackson | Family Medicine | 502 W Central Ave, La Follette, TN 37766-3400 | 2006-06-16 |
| 1740795285 | Kathy Joy Jackson | Social Worker | 11401 Lorain Ave, Cleveland, OH 44111-5428 | 2017-12-06 |
| 1154728319 | Kathy Lacole Jackson | Public Health or Welfare | 151 E Wood St, Spartanburg, SC 29303-3016 | 2014-12-03 |
| 1255689337 | Kathy Lynn Jackson | Counselor | 7611 Saint Vincent Ave, Shreveport, LA 71106-4231 | 2012-08-21 |
| 1104088749 | Kathy Jackson | Physical Therapist | 714 W Grove St, El Dorado, AR 71730-4416 | 2008-06-25 |
| 1306914296 | Kathy Jo Jackson | Pediatrics | 117 W Paterson St, Kalamazoo, MI 49007-2557 | 2006-12-01 |
| Street Address |
10820 MARVIN E. JONES BLVD. |
| City | LIVE OAK |
| State | FL |
| Zip Code | 32060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174630693 | Acv Community Services LLC | Clinic/Center | 10820 Marvin E. Jones Blvd., Live Oak, FL 32060-5890 | 2006-08-23 |
| 1659444578 | Johnny E Nicely | Pharmacist | 10820 Marvin E. Jones Blvd., Live Oak, FL 32060 | 2006-11-16 |
| 1275605156 | Amy Newson | Speech-Language Pathologist | 10820 Marvin E. Jones Blvd., Live Oak, FL 32060 | 2006-11-15 |
| 1700958691 | Leslie Mobley | Physical Therapy Assistant | 10820 Marvin E. Jones Blvd., Live Oak, FL 32060 | 2006-11-15 |
| 1457423261 | Lori O'steen | Occupational Therapy Assistant | 10820 Marvin E. Jones Blvd., Live Oak, FL 32060 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063996411 | Audiology Services Company Usa, LLC | Audiologist | 10820 Marvin Jone Blvd, Dowling Park, FL 32060 | 2018-09-21 |
| 1568974780 | Hear Better Centers, LLC | Clinic/Center | 10820 Marvin Jones Blvd., Live Oak, FL 32060 | 2017-10-27 |
| 1417388299 | Jacqueline Marie Ward | Occupational Therapy Assistant | 12172 128th St, Live Oak, FL 32060 | 2013-12-04 |
| 1073800793 | Karin Lorene Todd | Pharmacist | 911 Pinewood Street, Live Oak, FL 32060 | 2011-07-01 |
| 1225205644 | Meridian Behavioral Healthcare, Inc. | Clinic/Center | 920 Nw Nobles Ferry Road, Live Oak, FL 32060 | 2008-05-14 |
| 1164561882 | Walmart Pharmacy | Pharmacy | 6868 Us Hwy129, Live Oak, FL 32060 | 2007-02-06 |
| 1740344563 | Acv Community Services, LLC | Assisted Living Facility | 10676 Marvin E. Jones Blvd, Live Oak, FL 32060 | 2006-12-19 |
| 1780746735 | Acv Community Services, LLC | Home Health | 23740 Park Center Dr., Live Oak, FL 32060 | 2006-12-15 |
| 1801958681 | Acv Community Services, LLC | Occupational Therapy Assistant | 10820 Marvin E. Jones Blvd, Live Oak, FL 32060 | 2006-12-15 |
| 1417020314 | Richard A Corley | Physician Assistant | 10820 Marvin E Jones Blvd, Live Oak, FL 32060 | 2006-11-16 |
| Find all providers in zip 32060 | ||||
| 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 |
|---|---|---|---|---|
| 1649791245 | Christopher Panjavan | Physical Therapist | 12315 Judson Rd Ste 312, Live Oak, TX 78233-3265 | 2017-07-05 |
| 1033645015 | Bhupendra Shah | Physical Therapist | 1001 Pineview Cir Sw, Live Oak, FL 32064-3922 | 2017-05-11 |
| 1538527379 | Alison Zimmer | Physical Therapist | 12413 Judson Rd Ste 260, Live Oak, TX 78233-3262 | 2016-02-08 |
| 1013372283 | Jacqueline Dang Truong | Physical Therapist | 12315 Judson Rd Ste 310&312, Live Oak, TX 78233-3277 | 2015-12-15 |
| 1588033542 | Lydia Valenta Ringstaff | Physical Therapist | 7939 Pat Booker Rd Ste 120, Live Oak, TX 78233 | 2015-09-21 |
| 1851760920 | Keri A Jones | Physical Therapist | 12709 Toepperwein Road, Suite 101, Live Oak, TX 78233-3259 | 2015-09-18 |
| 1871888941 | Jacob Garza | Physical Therapist | 7939 Pat Booker Rd, Suite 120, Live Oak, TX 78233-2753 | 2011-06-16 |
| 1215185947 | Azalea Iris Flores | Physical Therapist | 12315 Judson Rd Ste 200, Live Oak, TX 78233-3206 | 2008-09-06 |
| 1366626319 | Toepperwein Physical Therapy and Spine Rehab PC | Physical Therapist | 11481 Toepperwein Rd Ste 1201, Live Oak, TX 78233-3146 | 2007-12-27 |
| 1710995840 | Western Physical Therapy, Inc. | Physical Therapist | 10255 Live Oak Blvd, Live Oak, CA 95953-2015 | 2006-08-04 |
| Find all providers in LIVE OAK | ||||
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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.