KRISTEN JACKSON (NPI# 1912306176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912306176 |
| Entity Type | Individual |
| Full Name | KRISTEN JACKSON |
| Credential | PTA |
| Practice Address |
3248 Lithia Pinecrest Rd Ste 102 Valrico FL 33596-5682 |
| Practice Telephone | 8136621366 |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2014-08-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | PTA25124 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316465347 | Kristen Jackson | Registered Nurse | 834 N Seminary St Ste 201, Galesburg, IL 61401-2898 | 2017-08-30 |
| 1255727061 | Kristen Jackson | Registered Nurse | 4028 Connors Way, Blasdell, NY 14219-2985 | 2015-04-08 |
| 1982008918 | Kristen Jackson | Nurse Practitioner | 3333 Bunet Avenue, Mlc 5021, Cincinnati, OH 45229-3026 | 2014-10-20 |
| 1801167267 | Kristen Jackson | Specialist | 1007 Sienna Dr, Danbury, CT 06810-7151 | 2012-01-17 |
| 1174804678 | Kristen M Jackson | Speech-Language Pathologist | 114 Lockett Ln, Saint George, KS 66535-9618 | 2011-08-29 |
| 1982211355 | Kristen Imani Jackson | Case Manager/Care Coordinator | 1995 Gentilly Blvd Ste C-400, New Orleans, LA 70119-1700 | 2020-09-29 |
| 1841839339 | Kristen Jackson | Physician Assistant | 6001 Stonewood Dr, Wexford, PA 15090-7380 | 2019-12-31 |
| 1952877045 | Kristen Lorraine Jackson | Physical Therapy Assistant | 720 Yorklyn Rd Ste 150, Hockessin, DE 19707-8729 | 2018-10-16 |
| 1518445634 | Kristen Jackson | Case Manager/Care Coordinator | 2404 Ferrand St Ste 24, Monroe, LA 71201-3233 | 2018-07-31 |
| 1861910499 | Kristen Staples Jackson | Speech-Language Pathologist | 701 Grove Rd, Greenville, SC 29605 | 2017-09-04 |
| Street Address |
3248 LITHIA PINECREST RD STE 102 |
| City | VALRICO |
| State | FL |
| Zip Code | 33596-5682 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922000512 | Julie A Yevchak | Physical Therapist | 3248 Lithia Pinecrest Rd Ste 102, Valrico, FL 33596-5682 | 2005-08-12 |
| 1679188403 | Emily Garbe | Physical Therapist | 3248 Lithia Pinecrest Rd Ste 102, Valrico, FL 33596-5682 | 2020-09-09 |
| 1467002436 | Karla Patricia Perez | Occupational Therapy Assistant | 3248 Lithia Pinecrest Rd Ste 102, Valrico, FL 33596-5682 | 2019-09-12 |
| 1477008316 | Deanna Conchita Deleon | Physical Therapy Assistant | 3248 Lithia Pinecrest Rd Ste 102, Valrico, FL 33596-5682 | 2016-08-21 |
| 1114371887 | Kim Oanh Pham | Physical Therapy Assistant | 3248 Lithia Pinecrest Rd Ste 102, Valrico, FL 33596-5682 | 2016-04-19 |
| 1326413469 | Carrie Marie Seiler | Physical Therapy Assistant | 3248 Lithia Pinecrest Rd Ste 102, Valrico, FL 33596-5682 | 2015-12-01 |
| 1164831970 | Erin Twombly | Clinic/Center | 3248 Lithia Pinecrest Rd Ste 102, Valrico, FL 33596-5682 | 2014-08-06 |
| 1912319138 | Stephanie Stambaugh | Physical Therapist | 3248 Lithia Pinecrest Rd Ste 102, Valrico, FL 33596-5682 | 2014-05-22 |
| 1407152010 | Cora Rehabilitation Clinics | Clinic/Center | 3248 Lithia Pinecrest Rd Ste 102, Valrico, FL 33596-5682 | 2011-01-28 |
| 1205025343 | Nicole D Johnson | Physical Therapist | 3248 Lithia Pinecrest Rd Ste 102, Valrico, FL 33596-5682 | 2007-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093271983 | Barbara Jeanne Ross | Registered Nurse | 2322 Longmore Circle, Valrico, FL 33596 | 2019-02-15 |
| 1376023481 | Michelle L Stinehelfer | Physical Medicine & Rehabilitation | 1418 East Bloomingdale Avenue, Valrico, FL 33596 | 2018-08-17 |
| 1487131645 | Nationwide Vision Center, LLC | Technician/Technologist | 2054 E Bloomingdale Ave, Valrico, FL 33596 | 2018-07-20 |
| 1952827305 | Alicia Marie Glasser | Counselor | 3011 Folklore Dr, Valrico, FL 33596 | 2017-08-17 |
| 1811443104 | Yosanna Melendez | Day Training, Developmentally Disabled Services | 4408 Kendal Ct, Valrico, FL 33596 | 2016-08-28 |
| 1689030181 | Wal-mart Stores East, Lp | Technician/Technologist | 2140 Bloomingdale Avenue, Valrico, FL 33596 | 2016-01-13 |
| 1841660008 | Tyler Bradney Love | Physical Therapist | 2470 Bloomingdale Ave, Valrico, FL 33596 | 2015-09-30 |
| 1528499761 | Madeline Horn | Registered Nurse | 2211 Lithia Center Ln, Valrico, FL 33596 | 2013-12-12 |
| 1740614635 | Dr James M Petro Od, Pa | Optometrist | 2140 E Bloomingdale Ave, Located In Wal-mart Vision Center, Valrico, FL 33596 | 2013-08-27 |
| 1134476294 | Ovia Voncile Stephens-oatman | Custodial Care Facility | 4220 Balington Dr, Valrico, FL 33596 | 2012-08-08 |
| Find all providers in zip 33596 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) 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 |
|---|---|---|---|---|
| 1902347925 | Jerry Deer | Physical Therapy Assistant | 810 Innergary Pl, Valrico, FL 33594-4167 | 2017-03-09 |
| 1215336755 | Julia Collins | Physical Therapy Assistant | 911 Silver Ridge Way, Valrico, FL 33594-4228 | 2014-08-21 |
| 1427320845 | Lisbeth Cuevas-navarro | Physical Therapy Assistant | 3717 Harrogate Dr, Valrico, FL 33596-8401 | 2012-02-01 |
| 1881965416 | Julianne North | Physical Therapy Assistant | 1904 Capri Rd, Valrico, FL 33594-6710 | 2012-01-12 |
| 1013161397 | Mitchell Sean Farrell | Physical Therapy Assistant | 3606 Warmspring Way, Valrico, FL 33596-6347 | 2008-11-12 |
| 1184874992 | Sara Michele Pfeifer | Physical Therapy Assistant | 1228 Lornewood Dr, Valrico, FL 33596-7137 | 2008-09-29 |
| 1871714139 | Tina Marie Mcdonald | Physical Therapy Assistant | 807 Tarawood Ln, Valrico, FL 33594-6639 | 2007-05-02 |
| 1598809931 | Teamus Lee Hughes | Physical Therapy Assistant | 3248 Lithia Pinecrest Rd, Suite 101, Valrico, FL 33594-5682 | 2007-02-19 |
| 1144707381 | Austin Karathuruthel Abraham | Physical Therapy Assistant | 3248 Lithia Pinecrest Rd, Valrico, FL 33596-5682 | 2018-07-20 |
| 1447746052 | Leslie Denise Givens | Physical Therapy Assistant | 2470 Bloomingdale Ave, Valrico, FL 33596-6403 | 2018-07-06 |
| Find all providers in VALRICO | ||||
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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.