SAMUEL COLLINS JACKSON (NPI# 1811511199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811511199 |
| Entity Type | Individual |
| Full Name | SAMUEL COLLINS JACKSON |
| Credential | DPT |
| Practice Address |
1125 Landau Ln Mt Pleasant SC 29466-7300 |
| Mailing Address |
5111 N Rhett Ave North Charleston SC 29405-4219 |
| Practice Telephone | 8433755448 |
| Mailing Telephone | 8438049478 |
| Mailing Fax Number | 8438049020 |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2020-06-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 10222 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689105223 | Samuel Barrett Jackson | Internal Medicine | 200 Ucla Medical Plz Ste 400, Los Angeles, CA 90095-7417 | 2017-03-24 |
| 1851556203 | Samuel S Jackson IIi | Dentist | 296 White Bridge Pike, Nashville, TN 37209-3226 | 2008-07-25 |
| 1376151266 | Samuel Eli Jackson | Behavior Technician | 1110 13th St Ste D, Columbus, GA 31901-2246 | 2020-07-16 |
| 1588204721 | Samuel Richardson Jackson | Physical Therapist | 10438 Iron Bridge Rd, Chester, VA 23831-1427 | 2020-01-15 |
| 1114480001 | Samuel W Jackson | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave, Brooklyn, NY 11203-2012 | 2019-04-09 |
| 1699274993 | Samuel Robert Jackson | Physician Assistant | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2018-02-02 |
| 1255794160 | Samuel Jackson | Student in an Organized Health Care Education/Training Program | 4301 W Markham St, Slot 589, Little Rock, AR 72205-7101 | 2016-03-30 |
| Street Address |
1125 LANDAU LN |
| City | MT PLEASANT |
| State | SC |
| Zip Code | 29466-7300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689276 | Sweetgrass Pharmacy Carolina Park, LLC | Pharmacy | 3485 Park Avenue Blvd, Mount Pleasant, SC 29466 | 2020-11-02 |
| 1942836754 | Southern Grace Pain & Regenerative Medicine | Clinic/Center | 3520 Park Avenue Blvd., Suite 105, Mount Pleasant, SC 29466 | 2020-03-13 |
| 1174175038 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 225 Faison Rd, Mount Pleasant, SC 29466 | 2019-07-11 |
| 1780246553 | Stacy Nicole Sherbutt | Dental Hygienist | Naval Weapons Statiom, 316 Red Bank Rd, Goose Creek, SC 29466 | 2019-07-02 |
| 1144780909 | Chantal Pilar Debreceny | Nurse Practitioner | 1167 Basketweave Drive, #204, Mount Pleasant, SC 29466 | 2019-03-20 |
| 1609364835 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 3525 Park Ave Blvd., Mount Pleasant, SC 29466 | 2018-04-24 |
| 1528561453 | Sea Island Medical Care | Clinic/Center | 2114 Highway 41, Suite 105, Mount Pleasant, SC 29466 | 2018-03-16 |
| 1992217707 | Kristina Estelle Johnson | Family Medicine | 2662, Lohr Dr, Mount Pleasant, SC 29466 | 2017-11-02 |
| 1801324181 | Collin T Weyer | Physical Therapist | 3301 Stockdale Street, Suite B, Mt. Pleasant, SC 29466 | 2017-05-31 |
| 1023467479 | Mariesa Eikevik | Physical Therapist | 3559 Franklin Tower Dr, Mount Pleasant, SC 29466 | 2016-06-07 |
| Find all providers in zip 29466 | ||||
| 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 |
|---|---|---|---|---|
| 1558862367 | Justin Bobick | Physical Therapist | 4851 East Pickard Street, 2600, Mt Pleasant, MI 48858 | 2018-02-27 |
| 1396244539 | Lauren Kathryne Caldwell | Physical Therapist | 1234 E Broomfield St # A3, Mt Pleasant, MI 48858-4491 | 2018-02-02 |
| 1104336098 | Julie Lim Casipit | Physical Therapist | 2245 S Isabella Rd, Mt Pleasant, MI 48858-2051 | 2017-10-04 |
| 1346778974 | Laurie Theresa Monahan-hughes | Physical Therapist | 1234 E Broomfield St Ste A3, Mt Pleasant, MI 48858-4491 | 2017-05-26 |
| 1730538307 | Carolyn Bethea Gilliam | Physical Therapist | 900 Johnnie Dodds Blvd Ste 100, Mt Pleasant, SC 29464 | 2016-06-06 |
| 1427436419 | Patrick Jhon Zuniga | Physical Therapist | 2530 Greenhill Rd, Mt Pleasant, TX 75455-6744 | 2015-05-11 |
| 1598163982 | Phoenix Rehabilitation and Health Services, Inc | Physical Therapist | 6583 State Route 819 S, Suite 2, Mt Pleasant, PA 15666-3503 | 2014-12-17 |
| 1861891756 | Ryan Dehaan | Physical Therapist | 103 West Dr, Mt Pleasant, MI 48858-2055 | 2014-08-18 |
| 1588074454 | Jennifer Steffen Eggers | Physical Therapist | 3040 Highway 17 Byp N Ste A, Mt Pleasant, SC 29466-9438 | 2014-05-01 |
| 1225454226 | Christopher Scott Wilson | Physical Therapist | 929 Bowman Rd Ste 300, Mt Pleasant, SC 29464 | 2014-03-14 |
| Find all providers in MT PLEASANT | ||||
| City | MT PLEASANT |
| Zip Code | 29466 |
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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.