Northbrooke Health Care and Rehab Clinic

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

4834 Issued in TN

Legal business name

NORTHBROOKE HEALTH CARE AND REHAB CLINIC

Practice address

121 Physicians Dr
Jackson, TN 38305-6011

Phone

(731) 664-5050

NPI assigned

Feb 15, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ginger Gordon Buckley

Title

Pta

Phone

(731) 217-3227

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297728000000",
    "number": "1023315769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 KING DAVID DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383057381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 PHYSICIANS DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383056011",
            "telephone_number": "731-664-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHBROOKE HEALTH CARE AND REHAB CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-15",
        "last_updated": "2011-02-15",
        "status": "A",
        "authorized_official_last_name": "BUCKLEY",
        "authorized_official_first_name": "GINGER",
        "authorized_official_middle_name": "GORDON",
        "authorized_official_title_or_position": "PTA",
        "authorized_official_telephone_number": "731-217-3227"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "4834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Norman, PTA
• Norris Chiropractic PLLC
• James Garrett Norris, DC
• Thomas Phillip Norsworthy, M.D.
• North Jackson Family Clinic Inc
• Northbrooke Healthcare and Rehab Center
• Northbrooke Healthcare and Rehab Center LLC
• Jordan Timothy Northrop
• Northside Medical Clinic, P.C.
• Norwood Family Eye Care, LLC

• Skilled Nursing Facility in Jackson, TN
• Providers in Jackson, TN by specialty
• Skilled Nursing Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.