Jackson Therapy Partners

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

OP007639 Issued in PA

Legal business name

JACKSON THERAPY PARTNERS

Practice address

1212 Summer LN
Pottstown, PA 19465-8080

Phone

(716) 490-2881

NPI assigned

Oct 30, 2015

Last updated

Oct 30, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Krysta M Rives, COTA/L,CKTPNPI 1609648880

Title

Cota/L,CKTP

Phone

(716) 490-2881

Specialties & licenses 1

Addresses

Tax ID family

Jackson Therapy Partners2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jackson Therapy Partners

  • Skilled Nursing Facility
  • Mission, TX
  • NPI 1356556773
  NPD tax ID

Practitioners 1

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.

• Krysta M Rives, COTA/L

  • Occupational Therapy Assistant
  • Jamestown, NY
  • NPI 1609648880
  Authorized official Same address or phone

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446163200000",
    "number": "1497127310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 SUMMER LN",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194658080",
            "telephone_number": "716-490-2881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 SUMMER LN",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194658080",
            "telephone_number": "716-490-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON THERAPY PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-30",
        "last_updated": "2015-10-30",
        "status": "A",
        "authorized_official_last_name": "RIVES",
        "authorized_official_first_name": "KRYSTA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "COTA/L,CKTP",
        "authorized_official_telephone_number": "716-490-2881",
        "authorized_official_credential": "COTA/L,CKTP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "OP007639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Marie Ivey
• Vanessa Ivins, LSW AND MSW
• Victoria Iwanowski
• Morna Obehi Iyobhebhe
• J James Suydam OD PC (Primary eye Care)
• Dawn Marie Jackson-Short
• Cynthia Jackson
• Gabrielle Jackson, MA, BCBA
• Kimberly Jacobs, D.M.D.
• Lauren Jacobsen

• Home Health Agency in Pottstown, PA
• Providers in Pottstown, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; 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.