JOHN JACKSON (NPI# 1992202832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992202832 |
| Entity Type | Individual |
| Full Name | JOHN JACKSON |
| Practice Address |
209 Lake St Chittenango NY 13037-1518 |
| Practice Telephone | 3152563615 |
| Mailing Telephone | 3152563615 |
| Enumeration Date | 2018-04-08 |
| Last Update Date | 2018-04-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 011063 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801439799 | John Archie Jackson Jr. | Counselor | 209 Martin Luther King Dr, Elizabethtown, NC 28337 | 2019-10-23 |
| 1063073310 | John Jackson | Speech-Language Pathologist | 2143 Mohawk Trl, Maitland, FL 32751-3950 | 2019-06-27 |
| 1063911105 | John Martin Jackson | Physical Therapy Assistant | 11118 Lantern Way, North Chesterfield, VA 23236-3575 | 2018-02-05 |
| 1184164493 | John Jackson | Emergency Medical Technician, Paramedic | 137 S Newport Ave, Newport, WA 99156-1942 | 2017-03-06 |
| 1508236837 | John Willard Jackson | Anesthesiology | 7857 Caruth Ct, Dallas, TX 75225-8133 | 2015-09-29 |
| 1043572035 | John Ferndale Jackson | Behavioral Analyst | 931 Azure Heights Place, Las Vegas, NV 89110 | 2012-06-14 |
| 1679830558 | John Michael Jackson | Pharmacist | 1000 Castlebay, Cincinnati, OH 45245-4910 | 2012-04-18 |
| 1013043553 | John Phillip Jackson | Occupational Therapist | 7810 Avenue U Apt B, Lubbock, TX 79423-2430 | 2007-02-26 |
| 1275673451 | John W Jackson | Pharmacist | 1667 Bellemeade Dr, Altoona, PA 16602-7402 | 2007-02-07 |
| 1720162779 | John Andrew Jackson | Dentist | 600 Division Ave, Suite E., San Antonio, TX 78214-1350 | 2006-10-25 |
| Street Address |
209 LAKE ST |
| City | CHITTENANGO |
| State | NY |
| Zip Code | 13037-1518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821506486 | Randee Ann Mccormick | Licensed Practical Nurse | 112 S. Berkey Drive, Chittenango, NY 13037 | 2018-01-17 |
| 1154877785 | Sean Laubenstein | Physical Therapist | 3198 Route 5 West, Chittenango, NY 13037 | 2016-09-01 |
| 1326411224 | Nicole Mastrangelo | Pharmacist | Kinney Drugs, 540 E. Genesee St., Chittenango, NY 13037 | 2015-11-02 |
| 1861736357 | Bridget A Frio Od | Optometrist | 303 Genesee Street, Chittenango, NY 13037 | 2012-11-21 |
| 1417228933 | Seth Lee Stucker | Military Health Care Provider | 6732 Ramsgate Road, Chittenango, NY 13037 | 2012-01-13 |
| 1376868257 | Meredith Corbett Albert | Physical Therapist | 1398 Route 5 West, Chittenango, NY 13037 | 2010-04-02 |
| 1679709877 | Sylvia B. Brodhead | Registered Nurse | 2277 Osborne Road, Chittenango, NY 13037 | 2009-06-03 |
| 1932279932 | Chittenango Dental | Dentist | 153 West Genesee Street, Chittenango, NY 13037 | 2006-11-08 |
| 1831206010 | Kph Healthcare Services, Inc. | Pharmacy | 540 Genesee St., Chittenango, NY 13037 | 2006-08-24 |
| 1619940756 | Daniel G Kingsley | Physical Therapist | 1398 Route 5 W, Chittenango, NY 13037 | 2006-02-09 |
| Find all providers in zip 13037 | ||||
| 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 |
|---|---|---|---|---|
| 1912507328 | Cassandra Coppola | Physical Therapy Assistant | 2202 Concord St, Malta, NY 12020-5265 | 2020-10-27 |
| 1942808969 | Aby Philip | Physical Therapy Assistant | 725 The Plain Rd, Westbury, NY 11590-5930 | 2020-10-12 |
| 1427656545 | Lisa Beth Stein | Physical Therapy Assistant | 20 Stuyvesant Oval Apt 7c, New York, NY 10009-2208 | 2020-10-12 |
| 1992302202 | Paul Alan O Ergina | Physical Therapy Assistant | 95 Knickerbocker Rd N, Plainview, NY 11803-2627 | 2020-10-08 |
| 1578170536 | Joanna Drzen | Physical Therapy Assistant | 4133 163rd St Apt 2a, Flushing, NY 11358-2681 | 2020-09-24 |
| 1477169043 | Anika Ashley Parrish | Physical Therapy Assistant | 708 De Mott Ave, North Baldwin, NY 11510-1326 | 2020-09-19 |
| 1598371122 | Tammy Kitchen | Physical Therapy Assistant | 118 Arrow Wood Pl, Ballston Spa, NY 12020-4706 | 2020-09-18 |
| 1710593553 | Abbey Elizabeth Clayton | Physical Therapy Assistant | 167 W 76th St Apt 4f, New York, NY 10023-8338 | 2020-09-17 |
| 1992310403 | Sharon Morgan | Physical Therapy Assistant | 100 Darrow Pl Apt 18e, Bronx, NY 10475-1853 | 2020-09-11 |
| 1134732142 | Wendell Jamias Abad | Physical Therapy Assistant | 90-33 Elmhurst Ave., Jackson Heights, NY 11372 | 2020-08-28 |
| Find all providers with the same taxonomy | ||||
| City | CHITTENANGO |
| Zip Code | 13037 |
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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.