DIANE JACKSON (NPI# 1992162259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992162259 |
| Entity Type | Individual |
| Full Name | DIANE JACKSON |
| Practice Address |
1676 Sunset Ave Physical & Occupational Therapy Unit Utica NY 13502-5416 |
| Practice Telephone | 3156245400 |
| Practice Fax Number | 3156245395 |
| Mailing Telephone | 3156245400 |
| Mailing Fax Number | 3156245395 |
| Enumeration Date | 2016-01-18 |
| Last Update Date | 2016-01-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 002483 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588212872 | Diane Marie Jackson | Occupational Therapist | 1279 Elmhurst Dr Ne, Cedar Rapids, IA 52402-4760 | 2019-08-29 |
| 1720408966 | Diane Jackson | Behavioral Analyst | 981 W Simkins Rd, Pahrump, NV 89060-2688 | 2014-04-25 |
| 1467796128 | Diane Regina Jackson | Nurse Practitioner | 1248 E Hillsborough Ave, 221, Tampa, FL 33604-7201 | 2012-11-19 |
| 1063768521 | Diane Marie Jackson | Registered Nurse | 12517 Erwin Ave, Cleveland, OH 44135-3554 | 2012-08-01 |
| 1366729493 | Diane Jackson | Social Worker | 9416 Creek Summit Cir, Richmond, VA 23235-4277 | 2011-11-03 |
| 1073817318 | Diane Jackson | Nurse Practitioner | 25329 I-45, Suite B, The Woodlands, TX 77380 | 2010-12-30 |
| 1770777229 | Diane Lynn Jackson | Home Health | 901 Frost Hollow Dr, Desoto, TX 75115-7412 | 2007-08-28 |
| 1922160720 | Diane Rene Jackson | Social Worker | 1129 Hightower Place Dr, O Fallon, IL 62269-7069 | 2006-12-15 |
| 1710096409 | Diane Jackson | Marriage & Family Therapist | 300 Harding Blvd, Suite 109, Roseville, CA 95678-2470 | 2006-08-29 |
| 1447723994 | Diane M Jackson | Counselor | 550 W Chalmers Ave, Youngstown, OH 44511-1576 | 2019-01-08 |
| Street Address |
1676 SUNSET AVE PHYSICAL & OCCUPATIONAL THERAPY UNIT |
| City | UTICA |
| State | NY |
| Zip Code | 13502-5416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144221367 | Tamim J Khaliqi | Anesthesiology | 1676 Sunset Ave, Utica, NY 13502-5416 | 2005-08-10 |
| 1437797503 | Jody Lynn Henry | Occupational Therapist | 1676 Sunset Ave, Utica, NY 13502-5416 | 2019-12-19 |
| 1083252423 | Dominic Caccioppoli | Occupational Therapist | 1676 Sunset Ave, Utica, NY 13502-5416 | 2019-12-17 |
| 1962040519 | Michelle Jordan | Physical Therapy Assistant | 1676 Sunset Ave, Utica, NY 13502-5416 | 2019-12-13 |
| 1215575014 | Lillian Zambri | Occupational Therapist | 1676 Sunset Ave, Utica, NY 13502-5416 | 2019-12-12 |
| 1104464817 | Lindsey Zustovich | Physical Therapist | 1676 Sunset Ave, Utica, NY 13502-5416 | 2019-12-12 |
| 1619515426 | Megan Krol | Physical Therapist | 1676 Sunset Ave, Utica, NY 13502-5416 | 2019-12-12 |
| 1225676026 | Leann Mogensen | Physical Therapist | 1676 Sunset Ave, Utica, NY 13502-5416 | 2019-12-12 |
| 1023656832 | Sierra Servadio | Physical Therapist | 1676 Sunset Ave, Utica, NY 13502-5416 | 2019-12-12 |
| 1396383295 | Joanne Davis | Occupational Therapist | 1676 Sunset Ave, Utica, NY 13502-5416 | 2019-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152627 | Mary Imogene Bassett Hospital | Pharmacy | 231 N Genesee St Fl 2, Utica, NY 13502 | 2020-10-20 |
| 1922635002 | Beth Ann Laporte | Social Worker | Drn Counseling & Consulting Services, 2621 Genesee Street, Utica, NY 13502 | 2020-03-26 |
| 1689216038 | Mary Ann Stockhauser | Dietitian, Registered | 917 Newport Rd, Utica, NY 13502 | 2019-10-16 |
| 1538659719 | Brenda Ann Cruse-malone | Social Worker | Mohawk Valley Psychiatric Center, Community Services Building 1400 Noyes St, Utica, NY 13502 | 2018-05-14 |
| 1184138265 | Genesee Street Medical Health | Psychiatry & Neurology | 286 Genesee St Ste 5, Utica, NY 13502 | 2017-11-28 |
| 1518470244 | Jeff Rohacek | Counselor | 1213 Court St., Suite 100, Utica, NY 13502 | 2017-11-16 |
| 1275044281 | Adam C Schwartz | Counselor | 122 Business Park Drive, Suite 1, Utica, NY 13502 | 2017-10-17 |
| 1346767175 | Jordynn Lynn Lee | Licensed Practical Nurse | 910 Mildred Ave, Utica, NY 13502 | 2017-08-23 |
| 1942751391 | Amanda Karla | Counselor | 502 Court Street Suite 210, Utica, NY 13502 | 2016-10-20 |
| 1407229974 | Hayley Hunt | Physician Assistant | 1658 Champlin Ave, Suite 335, Utica, NY 13502 | 2015-11-05 |
| Find all providers in zip 13502 | ||||
| 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 |
|---|---|---|---|---|
| 1114531498 | Sheila Marie Ramos | Physical Therapist | 11709 Squiers Blvd, Utica, MI 48315-5935 | 2020-09-03 |
| 1760851018 | Clare Sheldon | Physical Therapist | 600 Culver Ave, Utica, NY 13501-2015 | 2015-09-16 |
| 1841683547 | Alex Borja | Physical Therapist | 8243 Hall Rd, Suite 202, Utica, MI 48317-5504 | 2015-03-05 |
| 1538571559 | Semin Vukovic | Physical Therapist | 1159 Conkling Ave, Utica, NY 13501-4031 | 2014-05-26 |
| 1083053557 | Hemal Madhusudan Bhagat | Physical Therapist | 11685 Squiers Blvd, Utica, MI 48315-5936 | 2013-06-18 |
| 1588910475 | Kelsey J. Kelleher | Physical Therapist | 1020 Mary Street, Utica, NY 13501 | 2012-07-28 |
| 1326324146 | Robert J. Bryla | Physical Therapist | 1912 Sunset Ave., Utica, NY 13502 | 2011-10-25 |
| 1730403981 | Vamsi Krishna Panati | Physical Therapist | 45628 Van Dyke Ave, Utica, MI 48317-5366 | 2010-03-17 |
| 1215263033 | Alicia Ann Rials | Physical Therapist | 6077 Highway 18, Utica, MS 39175-9341 | 2009-10-29 |
| 1922215516 | Kyle Patrick Castle | Physical Therapist | 2516 Genesee St, Utica, NY 13502 | 2007-05-16 |
| Find all providers in UTICA | ||||
Please comment or provide details below to improve the information on DIANE 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.