Matt R Jackson (NPI# 1366990715, PAC ID# 4183907793) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1366990715 |
| PAC ID by PECOS | 4183907793 |
| Professional Enrollment ID | I20170206001296 |
| Full Name | Matt R Jackson |
| Organization Legal Name | THERAPY SPECIALISTS OF OK LLC |
| Address |
1624 Midtown Pl Midwest City OK 73130-6347 |
| Phone Number | 4056650583 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 4284874165 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1260 W Covell Road, 1 Physical Therapy Central of North Edmond, Edmond, OK 73003-3556 | 4054715522 | PTMS 3.0 LLC |
| 1260 W Covell Road, Edmond, OK 73003-3556 | 4054715522 | PTMS 3.0 LLC |
| 1624 Midtown Pl, Midwest City, OK 73130-6347 | 4056650583 | THERAPY SPECIALISTS OF OK LLC |
| 1624 Midtown Pl, Suite B, Midwest City, OK 73130-6347 | 4056650583 | THERAPY SPECIALISTS OF OK LLC |
| Organization Legal Name | THERAPY SPECIALISTS OF OK LLC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott Paul Carlin | Physical Therapy | Therapy Specialists of Ok LLC | 1624 Midtown Pl, Suite B, Midwest City, OK 73130-6347 |
| Danielle Lea Settle | Physical Therapy | Therapy Specialists of Ok LLC | 941 W I 35 Frontage Rd, 132 Therapy Specialists of Ok, Edmond, OK 73034-7375 |
| Jami L Hulslander | Physical Therapy | Therapy Specialists of Ok LLC | 13801 N Bryant Ave, Suite 400, Edmond, OK 73013-6473 |
| Samer I. Zantout | Physical Therapy | Therapy Specialists of Ok LLC | 1730 Shedeck Pkwy, Suite 100, Yukon, OK 73099-6010 |
| Casi Cornell | Physical Therapy | Therapy Specialists of Ok LLC | 1730 Shedeck Pkwy, Suite 100, Yukon, OK 73099-6010 |
| Joshua Johnson | Physical Therapy | Therapy Specialists of Ok LLC | 1730 Shedeck Pkwy, Suite 100, Yukon, OK 73099-6010 |
| Leigh Marie Harvey | Physical Therapy | Therapy Specialists of Ok LLC | 1730 Shedeck Pkwy, Suite 100, Yukon, OK 73099-6010 |
| Joe Alan Streich | Physical Therapy | Therapy Specialists of Ok LLC | 1730 Shedeck Pkwy, Suite 100, Yukon, OK 73099-6010 |
| Maggie Mcferrin | Physical Therapy | Therapy Specialists of Ok LLC | 1730 Shedeck Pkwy, Suite 100, Yukon, OK 73099-6010 |
| Richard Hawkins | Physical Therapy | Therapy Specialists of Ok LLC | 1730 Shedeck Pkwy, Suite 100, Yukon, OK 73099-6010 |
| Street Address |
1624 MIDTOWN PL |
| City | MIDWEST CITY |
| State | OK |
| Zip | 73130-6347 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott Paul Carlin | Physical Therapy | Therapy Specialists of Ok LLC | 1624 Midtown Pl, Suite B, Midwest City, OK 73130-6347 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregg S Govett | Otolaryngology | 1201 S Post Rd, Midwest City, OK 73130-2457 | |
| Kandy M Brown | Nurse Practitioner | Midwest Nephrology Group Pllc | 9230 E Reno Ave, Suite B, Midwest City, OK 73130-3320 |
| Bereket Alemu | Nephrology | Midwest Nephrology Group Pllc | 9230 E Reno Ave, Suite B, Midwest City, OK 73130-3320 |
| Samson M Ambaw | Nephrology | Midwest Nephrology Group Pllc | 9230 E Reno Ave, Suite B, Midwest City, OK 73130-3320 |
| Wudeneh Zewdie | Nephrology | Midwest Nephrology Group Pllc | 9230 E Reno Ave, Suite B, Midwest City, OK 73130-3320 |
| Brandon J Cox | Physical Therapy | Regional Physical Therapy Inc | 9309 E Reno Ave, Midwest City, OK 73130-3321 |
| Aaron David Crespo | Physical Therapy | Regional Physical Therapy Inc | 9309 E Reno Ave, Midwest City, OK 73130-3321 |
| Dick Stewart | Physical Therapy | Regional Physical Therapy Inc | 9309 E Reno Ave, Midwest City, OK 73130-3321 |
| Laurie K Cain | Physical Therapy | Regional Physical Therapy Inc | 9309 E Reno Ave, Midwest City, OK 73130-3321 |
| Allison Marie Thomas | Physical Therapy | Regional Physical Therapy Inc | 9309 E Reno Ave, Midwest City, OK 73130-3321 |
| Find all physicians in zip 73130 | |||
| City | MIDWEST CITY |
| Zip Code | 73130 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | MIDWEST CITY + PHYSICAL THERAPY |
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| 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.