Heather Danielle Jackson, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1324782 Issued in TX

Practice address

212 Bolivar St Ste 100
Sanger, TX 76266-9775

Phone

(940) 387-7601

Fax

(940) 257-6200

NPI assigned

Jun 23, 2016

Last updated

Mar 9, 2023By 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 2

Addresses

Other names 1

• Heather Danielle Dragg Former name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vista JV Partners LLCGroup PAC ID 3274998224, 126 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vista JV Partners LLC

  dba Vista Physical Therapy

  • Multi-Specialty Clinic/Center
  • Lake Worth, TX
  • NPI 1326753377

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1639520380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 SUNDOWN BLVD",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762108032",
            "telephone_number": "940-387-3700",
            "fax_number": "940-488-4513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 BOLIVAR ST STE 100",
            "city": "SANGER",
            "state": "TX",
            "postal_code": "762669775",
            "telephone_number": "940-387-7601",
            "fax_number": "940-257-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "HEATHER",
        "middle_name": "DANIELLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-23",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "5193",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1324782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "DRAGG",
            "middle_name": "DANIELLE",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sameenah M Hayes, LVN
• Carol Hedgecock
• Jededia Higgins, PH.D, LBA/BCBA
• HMDG, PLLC
• Charla Lynn Holmes
• Jacob & Bellas Bridge
• Jtdean, LLC (S & J Pharmacy)
• Victoria Juarez, M.S CCC-SLP
• Abdul Jabbar Khan, DMD, MS
• Lisa Gail Kizer, RPH

• Physical Therapist in Sanger, TX
• Providers in Sanger, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.