MARY CHRISTINE JACKSON (NPI# 1982828349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982828349 |
| Entity Type | Individual |
| Full Name | MARY CHRISTINE JACKSON |
| Credential | P.T. |
| Practice Address |
4650 W. Sweetwater Ave. Glendale AZ 85304 |
| Mailing Address |
937 W Campus Dr Phoenix AZ 85013-4017 |
| Practice Telephone | 6023472600 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 1480 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 558736 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922605690 | Mary Sonya Jackson | Contractor | 5480 Hedge Brooke Pointe Nw, Acworth, GA 30101-7142 | 2020-10-06 |
| 1194388678 | Mary Sheree Jackson | Home Health Aide | 226 Mckinley St, Pittsburgh, PA 15210-3312 | 2019-04-19 |
| 1508358813 | Mary Jackson | Counselor | 3442 W Emma Pl, Queen Creek, AZ 85142-0506 | 2018-06-01 |
| 1891220935 | Mary Jackson | Counselor | 2824 N Cascade Ave, Colorado Springs, CO 80907-6213 | 2017-04-26 |
| 1992152672 | Mary Jackson | Non-emergency Medical Transport (VAN) | 421 Lively Hope Rd, Callao, VA 22435-2511 | 2016-05-23 |
| 1699121129 | Mary Theresa Jackson | Counselor | 345 Old Cuyler Rd, Ellabell, GA 31308-5858 | 2016-05-13 |
| 1013331586 | Mary Jackson I | Chore Provider | 555 Old Lewiston Rd, Winthrop, ME 04364-4112 | 2014-02-04 |
| 1316203854 | Mary Louise Jackson | Home Health Aide | 256 Clairmont Ave, Mansfield, OH 44903-1547 | 2012-04-10 |
| 1376835298 | Mary Bickel Jackson | Nutritionist | 33 Fulton Plaza, Middletown, NY 10940 | 2011-05-11 |
| 1437456522 | Mary Elisabeth Jackson | Counselor | 804 South Oakland Ave, Carbondale, IN 62901 | 2011-02-25 |
| Street Address |
4650 W. SWEETWATER AVE. |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518089622 | Deanna Elizabeth Athnos | Occupational Therapist | 4650 W. Sweetwater Ave., Glendale, AZ 85304 | 2007-04-06 |
| 1184836173 | Bruce F. Sheehy | Local Education Agency (LEA) | 4650 W. Sweetwater Ave., Glendale, AZ 85304-1505 | 2007-05-04 |
| 1538381132 | Cindy Relford | Specialist | 4650 W. Sweetwater Ave., Glendale, AZ 85304 | 2007-05-03 |
| 1053531947 | Cynthia Jean Rodriguez | Local Education Agency (LEA) | 4650 W. Sweetwater Ave., Glendale, AZ 88530 | 2007-04-26 |
| 1821214446 | Traci Johnson | Specialist | 4650 W. Sweetwater Ave., Glendale, AZ 85304-1505 | 2007-04-18 |
| 1578788956 | Janice Baranowski | Registered Nurse | 4650 W. Sweetwater Ave., Glendale, AZ 85304 | 2007-04-13 |
| 1700909405 | Athanasia Sipsas-herrmann | Psychologist | 4650 W. Sweetwater Ave., Glendale, AZ 85304 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386254027 | J & B Assisted Living, Inc. D/b/a J & B Behavioral Health II | Substance Abuse Rehabilitation Facility | 6613 W. Pershing Avenue, Glendale, AZ 85304 | 2020-08-07 |
| 1194214015 | Vema Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4309 W Corrine Dr, Glendale, AZ 85304 | 2018-05-07 |
| 1962929224 | Glendale Surgery Center | Clinic/Center | 11851 North 51st Ave, Suite G, Glendale, AZ 85304 | 2017-08-28 |
| 1073941092 | Megan Lorenzen | Occupational Therapist | 5834 W. Bloomfield Rd., Glendale, AZ 85304 | 2013-10-30 |
| 1396178380 | Danielle Marie Wiles | Registered Nurse | 12901 W. 63rd Avenue, Glendale, AZ 85304 | 2013-08-14 |
| 1780017848 | Pedram Nazari | Pharmacist | 4811 North 83rd Avenue, Glendale, AZ 85304 | 2013-08-13 |
| 1740558022 | Krunal Patel | Obstetrics & Gynecology | 5605 W Eugie Ave Ste 111, Glendale, AZ 85304 | 2011-12-01 |
| 1730499609 | Laura A Truax | Physician Assistant | 11851 N. 51st Ave, Ste F-110, Glendale, AZ 85304 | 2010-10-13 |
| 1760698419 | Suhir Bitar | Pediatrics | 13625 N 59th Ave, Glendale, AZ 85304 | 2007-05-16 |
| 1497967293 | Pam Rubbone | Psychologist | 4650 West Sweetwater Ave., Glendale, AZ 85304 | 2007-05-04 |
| Find all providers in zip 85304 | ||||
| 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 |
|---|---|---|---|---|
| 1013533546 | Samantha Emma Chang | Physical Therapist | 6320 W Union Hills Dr Ste 2200b, Glendale, AZ 85308-1375 | 2020-06-20 |
| 1295358828 | Moriah Morgan | Physical Therapist | 1111 N Brand Blvd Ste J&k, Glendale, CA 91202-3070 | 2020-05-18 |
| 1356963359 | Dina Mohamadjalal Alturk | Physical Therapist | 1049 Ruberta Ave Apt B, Glendale, CA 91201-3648 | 2020-05-12 |
| 1326677485 | Jenny Asim Gadia | Physical Therapist | 114 Olive St Apt 3, Glendale, CA 91206-4667 | 2020-04-02 |
| 1073149613 | Taylor Kitkowski | Physical Therapist | 9980 W Glendale Ave, Glendale, AZ 85307-3005 | 2020-03-16 |
| 1750913836 | St Anthony's Physical Therapy PC | Physical Therapist | 7214 67th Pl, Glendale, NY 11385-6957 | 2020-02-06 |
| 1558900944 | Athletico Ltd | Physical Therapist | 6070 W Bell Rd Ste A103, Glendale, AZ 85308-3774 | 2020-01-02 |
| 1962050054 | Barbara Unger Rector | Physical Therapist | 6911 N Longview Ave, Glendale, WI 53209-2917 | 2019-08-31 |
| 1013577865 | Andrew Vander Zwaag | Physical Therapist | 3780 W Happy Valley Rd Ste 120-122, Glendale, AZ 85310-3284 | 2019-06-14 |
| 1750846853 | Patrice Ella Ayala | Physical Therapist | 19889 North 59th Ave, Glendale, AZ 85308-6813 | 2019-02-04 |
| Find all providers in GLENDALE | ||||
Please comment or provide details below to improve the information on MARY CHRISTINE JACKSON.
| 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.