Christy Tunnell Jackson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT18429 Issued in FL

Practice address

1700 NE Indian River Dr
Jensen Beach, FL 34957-5853

Phone

(772) 225-1355

Fax

(772) 225-8037

NPI assigned

Jul 9, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Christy Tunnell Former name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Florida College of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pelvic Health Solutions LLCGroup PAC ID 9436482031, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pelvic Health Solutions LLC

  • Physical Therapy Clinic/Center
  • Palm Beach Gardens, FL
  • NPI 1407317811

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247097600000",
    "number": "1295964419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 SULLIVAN TRL",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180407958",
            "telephone_number": "800-944-9782",
            "fax_number": "610-438-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 NE INDIAN RIVER DR",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349575853",
            "telephone_number": "772-225-1355",
            "fax_number": "772-225-8037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "CHRISTY",
        "middle_name": "TUNNELL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-09",
        "last_updated": "2009-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT18429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTY",
            "last_name": "TUNNELL",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• HPS, Helping People Succeed, Inc.
• Jenna Hunter, APRN, WHNP-BC
• Rachel J Hypolite, NCC, LMHC
• Interventional Rehabilitation of South Florida, Inc
• Cynthia Irish, SLP
• Dan G. Jacobson, M.D.
• Lorraine Jagodowski, RPT
• Jacinta James, MS, BCBA
• Amy Lynne Janicki, MS-CCC-SLP
• Sara Jansen

• Physical Therapist in Jensen Beach, FL
• Providers in Jensen Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.