Active NPI
Nathan Jackson PLLC
- Physical Therapist
- Tyler, TX
National Provider Identifier
1477797033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- NATHAN JACKSON PLLC
- Practice address
- 7922 S Broadway Ave
Tyler, TX 75703-5242 - Phone
- (903) 388-8378
- NPI assigned
- Apr 27, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Nathan Jackson, P.T.
- Title
- President
- Phone
- (903) 388-8378
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | TX | Primary | |
| Occupational Therapist | 225X00000X |
Addresses
Primary practice location
7922 S Broadway Ave
Tyler, TX 75703-5242
Mailing address
PO Box 6336
Tyler, TX 75711-6336
Phone (903) 509-3773
Other names 1
- Choice Rehab
National Provider Directory
National Provider DirectoryLocations
214 W Houston St
Ste B
Tyler, TX 75702
Phone (903) 388-8378
7922 S Broadway Ave
Tyler, TX 75703
Phone (903) 245-6695
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Tyler, TX
- NPI 1194814129
-
- Physical Therapist
- Nacogdoches, TX
- NPI 1205103181
-
- Physical Therapist
- Fort Worth, TX
- NPI 1235406182
-
- Pediatrics Physician
- Pflugerville, TX
- NPI 1740417872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240790400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1344384000000",
"number": "1477797033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6336",
"city": "TYLER",
"state": "TX",
"postal_code": "757116336",
"telephone_number": "903-509-3773",
"fax_number": "903-509-3993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7922 S BROADWAY AVE",
"city": "TYLER",
"state": "TX",
"postal_code": "757035242",
"telephone_number": "903-388-8378"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATHAN JACKSON PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-27",
"last_updated": "2012-08-08",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "NATHAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "903-388-8378",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "TX",
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Choice Rehab",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.