DR. HAILEY JACKSON (NPI# 1831734318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831734318 |
| Entity Type | Individual |
| Full Name | DR. HAILEY JACKSON |
| Credential | PT, DPT |
| Practice Address |
1301 W Providence Ave Orange CA 92868-3892 |
| Mailing Address |
293 N State College Blvd Apt 1049 Orange CA 92868-5705 |
| Practice Telephone | 7146394990 |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2020-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 297529 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14850 Central Ave, Chino, CA 917109509 | 9095970504 | |
| 500 W Central Ave Ste B, Brea, CA 928213036 | 7145295022 | |
| 980 Roosevelt Ste 100, Irvine, CA 926203670 | 9493336400 |
| Street Address |
1301 W PROVIDENCE AVE |
| City | ORANGE |
| State | CA |
| Zip Code | 92868-3892 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124013917 | James Christopher Townsley | Audiologist-Hearing Aid Fitter | 1301 W Providence Ave, Orange, CA 92868-3808 | 2005-09-16 |
| 1366059339 | Shalu Chauhan | Speech-Language Pathologist | 1301 W Providence Ave, Orange, CA 92868-3892 | 2020-09-24 |
| 1386251247 | Hilary Serota | Speech-Language Pathologist | 1301 W Providence Ave, Orange, CA 92868-3808 | 2020-09-24 |
| 1972112340 | Alexandra E Webb | Audiologist | 1301 W Providence Ave, Orange, CA 92868-3892 | 2020-07-30 |
| 1841818085 | Preethi Codanda Chengappa | Audiologist-Hearing Aid Fitter | 1301 W Providence Ave, Orange, CA 92868-3892 | 2020-07-13 |
| 1598308934 | Abelardo Mendoza Franco | Speech-Language Pathologist | 1301 W Providence Ave, Orange, CA 92868-3808 | 2019-10-17 |
| 1356984793 | Alexandra Lithgow | Audiologist | 1301 W Providence Ave, Orange, CA 92868-3892 | 2019-10-17 |
| 1861040511 | Allison Hong | Audiologist | 1301 W Providence Ave, Orange, CA 92868-3808 | 2019-08-27 |
| 1073160610 | Ashley Geske | Audiologist | 1301 W Providence Ave, Orange, CA 92868-3892 | 2019-08-19 |
| 1225682859 | Reuelle Charis Ching Shao | Speech-Language Pathologist | 1301 W Providence Ave, Orange, CA 92868-3808 | 2019-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859386 | Sadaf Abrishami | Pharmacist | 101 The City Dr S., Orange, CA 92868 | 2020-07-27 |
| 1245869825 | Helena Yijia Hong | Student in an Organized Health Care Education/Training Program | Uci Medical Center, 101 The City Drive, Orange, CA 92868 | 2020-04-06 |
| 1932736527 | Joshua Kristopher Livingston | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Rte. 128-01, Orange, CA 92868 | 2020-03-24 |
| 1831725894 | Michelle Brown | Student in an Organized Health Care Education/Training Program | 101 The City Dr S. Rte 128-01, Orange, CA 92868 | 2020-03-20 |
| 1093363491 | Kristin Lee | Pharmacist | 132 S. Anita Dr., Orange, CA 92868 | 2019-08-28 |
| 1740834217 | Matthew Brian Mecheal | Dentist | 725 W. La Veta Suite 260, Orange, CA 92868 | 2019-08-01 |
| 1245897990 | Brent Tyler Louie | Student in an Organized Health Care Education/Training Program | 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 | 2019-05-28 |
| 1093277972 | Danielle Amato | Student in an Organized Health Care Education/Training Program | Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 | 2019-04-01 |
| 1851852206 | Julia Ting Bu | Student in an Organized Health Care Education/Training Program | Uc Irvine Health, 101 The City Drive, City Tower, Ste 400, Orange, CA 92868 | 2019-03-28 |
| 1326507344 | Harrison Beene Lowder | Student in an Organized Health Care Education/Training Program | 505 S. Main St, Suite 525, Orange, CA 92868 | 2019-03-19 |
| Find all providers in zip 92868 | ||||
| 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 |
|---|---|---|---|---|
| 1134735145 | Kevin Howard | Physical Therapist | 240 Indian River Rd Ste B7, Orange, CT 06477-3690 | 2020-09-16 |
| 1114557147 | Joshua Watson | Physical Therapist | 225 N Tustin St, Orange, CA 92867-7718 | 2020-01-17 |
| 1871076315 | Mario Paredes | Physical Therapist | 240 Indian River Rd Ste B7b8, Orange, CT 06477 | 2018-09-11 |
| 1093233215 | Christine Wright | Physical Therapist | 406 S. Schug St, Orange, CA 92869 | 2017-09-07 |
| 1295255958 | Hyundong Kim | Physical Therapist | 2102 Avalon Dr E, Orange, CT 06477-3644 | 2017-06-23 |
| 1558893784 | Harold Henroe Pan | Physical Therapist | 1026 E Chapman Ave Ste B, Orange, CA 92866-2151 | 2017-03-28 |
| 1730620964 | Tina Forsythe | Physical Therapist | 5927 E Creekside Ave, Unit 20, Orange, CA 92869-3186 | 2017-03-20 |
| 1760831796 | Diane Kahler | Physical Therapist | 1026 E Chapman Ave Ste C, Orange, CA 92866-2152 | 2016-06-09 |
| 1851745822 | Jennifer Nitollama | Physical Therapist | 11402 S Church St, Orange, CA 92869-2620 | 2016-04-15 |
| 1457715815 | Connie Bowin | Physical Therapist | 2330 E Parkside Ave, Orange, CA 92867-4040 | 2016-04-11 |
| Find all providers in ORANGE | ||||
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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.