Natasha Monique Jackson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 29279 Issued in FL

Practice address

11000 Prosperity Farms Rd Ste 203
Palm Beach Gardens, FL 33410-3462

Phone

(561) 432-0111

NPI assigned

Jun 10, 2014

Last updated

Jun 10, 2014By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr. George Blackwell Inc.Group PAC ID 2769805225, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Dr. George Blackwell Inc.

  • Chiropractor
  • Port St Lucie, FL
  • NPI 1790300127

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Pga Chiropractic Health Center PA

  • Chiropractor
  • Palm Beach Gardens, FL
  • NPI 1962799213
  Medicare reassignment NPD

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402358400000",
    "number": "1659784320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 PROSPERITY FARMS RD STE 203",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103462",
            "telephone_number": "561-432-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 PROSPERITY FARMS RD STE 203",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103462",
            "telephone_number": "561-432-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "NATASHA",
        "middle_name": "MONIQUE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 29279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ibrahim Ihsan Jabbour, MD, MPH
• Rayann Jaber, DNP, APRN, FNP-C
• Sheika A Jacinthe, APRN
• Amanda Meister Jackson, PHARMD
• Crystal Louise Jackson, MSN, APRN, WHNP-BC
• Michael A Jacobs, MD PA
• Tara Jacobs, NP-C
• Evan L Jacobson, M.D.
• Michelle C Jacobson, LCSW
• Andrew Todd Jaffe, M.D.

• Physical Therapist in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, 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 10, 2014; 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.