Emily Jackson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501012247 Issued in MI

Practice address

1100 W Saginaw St Ste 2a
Lansing, MI 48915-2033

Phone

(517) 321-4646

Fax

(517) 321-4825

NPI assigned

Oct 2, 2006

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Physiotherapy Associates, Inc.

  • Rehabilitation Clinic/Center
  • Waterford, MI
  • NPI 1679645295

  Physical Therapist

  Medicare reassignment NPD
• Physiotherapy Assoicates, Inc.

  • Rehabilitation Clinic/Center
  • Ionia, MI
  • NPI 1366110959

  Physical Therapist

  NPD
• Physiotherapy Associates Inc

  • Physical Therapy Clinic/Center
  • Estero, FL
  • NPI 1720039902
  NPD
• Physiotherapy Associates Inc

  • Physical Therapy Clinic/Center
  • Lansing, MI
  • NPI 1053404921

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1417040288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W SAGINAW ST STE 2A",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489152033",
            "telephone_number": "517-321-4646",
            "fax_number": "517-321-4825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W SAGINAW ST STE 2A",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489152033",
            "telephone_number": "517-321-4646",
            "fax_number": "517-321-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "EMILY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501012247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "30658",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheryl Bellanca Jack, MD
• Alisha Jackson, NP
• Cigne Jackson, AT, ATC
• Curtis Lee Jackson Jr.
• Elizabeth Jackson
• Immanuel Jackson, DO
• Jacklyn Jackson
• Lindsey Jackson, LLMSW
• Mackenzie Loren Jackson, MD
• Martez Jackson

• Physical Therapist in Lansing, MI
• Providers in Lansing, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.