Janis Arlean Jackson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

08248 Issued in OR

Practice address

3512 Excel Dr Ste 105
Medford, OR 97504-9850

Phone

(541) 245-0419

Fax

(541) 245-0426

NPI assigned

Jun 17, 2013

Last updated

Jun 17, 2013By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371427200000",
    "number": "1407295074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3512 EXCEL DR STE 105",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975049850",
            "telephone_number": "541-245-0419",
            "fax_number": "541-245-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3512 EXCEL DR STE 105",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975049850",
            "telephone_number": "541-245-0419",
            "fax_number": "541-245-0426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JANIS",
        "middle_name": "ARLEAN",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-17",
        "last_updated": "2013-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OR",
            "license": "08248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackson County Oregon (Juvenile Services Division)
• Jackson County Physical Therapy LLP
• Steven Lee Jackson-Villegas
• Brian A Jackson, CADC I
• David R. Jackson
• Jennifer Veit Hall Jackson, M.D.
• John W Jackson, MD
• Roberta L Jackson, M.D.
• Jacob J Foutz DMD, LLC
• Jacob O. Layer, DMD, PC

• Physical Therapy Assistant in Medford, OR
• Providers in Medford, OR by specialty
• Physical Therapy Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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.