Jim J Jackson (NPI# 1346337615, PAC ID# 1355423849) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OCCUPATIONAL THERAPY.
| Nation Provider ID (NPI) | 1346337615 |
| PAC ID by PECOS | 1355423849 |
| Professional Enrollment ID | I20130812000026 |
| Full Name | Jim J Jackson |
| Organization Legal Name | OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES KENDALL LLC |
| Address |
9415 Sw72nd St Suite 111 Miami FL 33173-5492 |
| Phone Number | 7865078278 |
| Gender | M |
| Graduation Year | 1978 |
| Primary Specialty | OCCUPATIONAL THERAPY |
| Group Practice PAC ID | 4981842192 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 9415 Sw72nd St, Suite 111, Miami, FL 33173-5492 | 7865078278 | OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES KENDALL LLC |
| Organization Legal Name | OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES KENDALL LLC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anna Lynch | Physical Therapy | Optimal Performance and Physical Therapies Kendall LLC | 9415 Sw72nd St, Suite 111, Miami, FL 33173-5492 |
| Juan Gabriel Colome | Occupational Therapy | Optimal Performance and Physical Therapies Kendall LLC | 9415 Sw72nd St, Suite 111, Miami, FL 33173-5492 |
| Angel Ceballos | Physical Therapy | Optimal Performance and Physical Therapies Kendall LLC | 9415 Sw72nd St, Suite 111, Miami, FL 33173-5492 |
| Carolina Flores | Occupational Therapy | Optimal Performance and Physical Therapies Kendall LLC | 9415 Sw72nd St, Suite 111, Miami, FL 33173-5492 |
| Armando Diaz | Physical Therapy | Optimal Performance and Physical Therapies Kendall LLC | 9415 Sw72nd St, Suite 111, Miami, FL 33173-5492 |
| Danielle E Dea | Physical Therapy | Optimal Performance and Physical Therapies Kendall LLC | 9415 Sw72nd St, Suite 111, Miami, FL 33173-5492 |
| Nelson Navarro | Occupational Therapy | Optimal Performance and Physical Therapies Kendall LLC | 9415 Sw72nd St, Suite 111, Miami, FL 33173-5492 |
| Fredd Tirado | Occupational Therapy | Optimal Performance and Physical Therapies Kendall LLC | 9415 Sw72nd St, Suite 111, Miami, FL 33173-5492 |
| David Sanchez | Physical Therapy | Optimal Performance and Physical Therapies Kendall LLC | 9415 Sw72nd St, Suite 111, Miami, FL 33173-5492 |
| Young M La | Occupational Therapy | Optimal Performance and Physical Therapies Kendall LLC | 9415 Sw72nd St, Suite 111, Miami, FL 33173-5492 |
| Street Address |
9415 SW72ND ST SUITE 111 |
| City | MIAMI |
| State | FL |
| Zip | 33173-5492 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anna Lynch | Physical Therapy | Optimal Performance and Physical Therapies Kendall LLC | 9415 Sw72nd St, Suite 111, Miami, FL 33173-5492 |
| Juan Gabriel Colome | Occupational Therapy | Optimal Performance and Physical Therapies Kendall LLC | 9415 Sw72nd St, Suite 111, Miami, FL 33173-5492 |
| Angel Ceballos | Physical Therapy | Optimal Performance and Physical Therapies Kendall LLC | 9415 Sw72nd St, Suite 111, Miami, FL 33173-5492 |
| Carolina Flores | Occupational Therapy | Optimal Performance and Physical Therapies Kendall LLC | 9415 Sw72nd St, Suite 111, Miami, FL 33173-5492 |
| Armando Diaz | Physical Therapy | Optimal Performance and Physical Therapies Kendall LLC | 9415 Sw72nd St, Suite 111, Miami, FL 33173-5492 |
| Danielle E Dea | Physical Therapy | Optimal Performance and Physical Therapies Kendall LLC | 9415 Sw72nd St, Suite 111, Miami, FL 33173-5492 |
| Nelson Navarro | Occupational Therapy | Optimal Performance and Physical Therapies Kendall LLC | 9415 Sw72nd St, Suite 111, Miami, FL 33173-5492 |
| Fredd Tirado | Occupational Therapy | Optimal Performance and Physical Therapies Kendall LLC | 9415 Sw72nd St, Suite 111, Miami, FL 33173-5492 |
| David Sanchez | Physical Therapy | Optimal Performance and Physical Therapies Kendall LLC | 9415 Sw72nd St, Suite 111, Miami, FL 33173-5492 |
| Young M La | Occupational Therapy | Optimal Performance and Physical Therapies Kendall LLC | 9415 Sw72nd St, Suite 111, Miami, FL 33173-5492 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Luis Oscar Hernandez Iii | Colorectal Surgery (proctology) | Gastro Health, LLC | 7765 Sw87th Ave, Suite 212, Miami, FL 33173 |
| Moises Dobarganes | Nurse Practitioner | 10300 Sw72nd St, Suite 230, Miami, FL 33173 | |
| Ariadna Valdes | Family Medicine | 7000 Sw97th Ave, Suite 106, Miami, FL 33173 | |
| Alejandro J Arias | Clinical Psychologist | 9370 Sunset Dr, Suite A240, Miami, FL 33173 | |
| Jeffrey A Loman | Internal Medicine | 9195 Sunset Dr, Suite 210, Miami, FL 33173 | |
| Hector M Delgado | Family Medicine | 9220 Sunset Dr, Suite 202, Miami, FL 33173 | |
| Barbara Muina | Internal Medicine | 9195 Sunset Dr, Suite 210, Miami, FL 33173 | |
| Giovanna Ciocca | Dermatology | Ciocca Dermatology Pa | 7001 Sw 97th Ave, Suite 101, Miami, FL 33173-1407 |
| Scott Michael Cohen | Chiropractic | Dr Eric A Cohen Pa | 7000 Sw 97 Ave, Suite 107, Miami, FL 33173-1474 |
| Rajesh U Dhairyawan | Cardiovascular Disease (cardiology) | 7000 Sw 97 Ave, Suite 102, Miami, FL 33173-1474 | |
| Find all physicians in zip 33173 | |||
| City | MIAMI |
| Zip Code | 33173 |
| Specialty | OCCUPATIONAL THERAPY |
| City + Specialty | MIAMI + OCCUPATIONAL THERAPY |
Please comment or provide details below to improve the information on Jim J Jackson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.