Deborah Jackson Therapy Associates Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT11000 Issued in FL

Legal business name

DEBORAH JACKSON THERAPY ASSOCIATES INC

Practice address

319 W Town PL
Suite 5
St Augustine, FL 32092-3101

Phone

(904) 342-5262

Fax

(904) 217-3580

NPI assigned

May 22, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Deborah JacksonNPI 1336107408

Title

President

Phone

(904) 342-5262

Specialties & licenses 7

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deborah A Jackson, PHD,PT, OCS,CMP, ATC

  • Physical Therapist
  • St Augustine, FL
  • NPI 1336107408
  Authorized official Same address or phone
• Gary Lee Miller, CRNA

  • Certified Registered Nurse Anesthetist
  • Daytona Beach, FL
  • NPI 1447297528
  NPD (past)

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340841600000",
    "number": "1497015598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 W TOWN PL",
            "address_2": "SUITE 5",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320923101",
            "telephone_number": "904-342-5262",
            "fax_number": "904-217-3580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 W TOWN PL",
            "address_2": "SUITE 5",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320923101",
            "telephone_number": "904-342-5262",
            "fax_number": "904-217-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH JACKSON THERAPY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-22",
        "last_updated": "2012-06-28",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-342-5262",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT11000",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT20179",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT5569",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT7090",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT9478",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": "FL",
            "license": "OT7576",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA299",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine De Verteuil, R.P.T.
• Allison Caroline Dean
• Crystal Dean
• Jessica Jo Dean, APRN, CNM
• Debbie's Day Spa & Salon
• Christina Alana Debow, ACUPUNCTURIST
• Alyssa Hope Declementi
• Michelle Defelice
• Carlos Dejesus, CRNA
• Nyla Ann Dejong, SLPA

• Physical Therapist in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.

Verify at the official NPI Registry.