Heather L Jackson

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT03423 Issued in RI

Practice address

20 Powel Avenue
Newport, RI 02840-1816

Phone

(401) 846-6400

NPI assigned

Aug 8, 2023

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

Medicare fee-for-service enrollment

Enrolled in MD, DC, WA, MA4 enrollments

Enrollment records 4

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Plymouth Bay Orthopedic Associates IncGroup PAC ID 3375448335, 31 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.

• Plymouth Bay Orthopedic Associates Inc.

  • Occupational Therapist
  • Duxbury, MA
  • NPI 1881603868

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Glen Burnie Physical Therapy & Sportscare, LLC

  • Physical Therapist
  • Columbia, MD
  • NPI 1679630073

  DC

  Medicare reassignment NPD
• Integrated Rehabilitation Group, PC

  • Physical Therapy Clinic/Center
  • Mill Creek, WA
  • NPI 1154369833

  Physical Therapist

  Medicare reassignment NPD
• Glen Burnie Physical Therapy & Sportscare, LLC

  • Physical Therapist
  • Columbia, MD
  • NPI 1417319211
  NPD
• Integrated Rehabilitation Group, PC

  • Physical Therapy Clinic/Center
  • Marysville, WA
  • NPI 1215201801

  Physical Therapist

  NPD
• Plymouth Bay Orthopedic Associates Inc.

  • Orthopaedic Surgery Physician
  • Duxbury, MA
  • NPI 1548281488
  NPD

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1386327351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 POWEL AVENUE",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028401816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 POWEL AVENUE",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028401816",
            "telephone_number": "401-846-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "HEATHER",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT03423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liza Hunter, NP
• Simisola Imonah
• Informed Pregnancy and Birth Collective LLC
• Benjamin James Ingram, M.D.
• Kenneth Jay Iverson, MD
• John T Jackson, PA-C
• Stacey Lynn Jacobs, DMD
• James L Maher Center
• James L Maher Center
• James L Maher Center

• Physical Therapist in Newport, RI
• Providers in Newport, RI by specialty
• Physical Therapist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; 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.