Anne Jackson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT27479 Issued in FL

Practice address

1155 35TH LN
Ste 100
Vero Beach, FL 32960-6521

Phone

(772) 569-2330

Fax

(772) 569-2630

NPI assigned

Feb 19, 2008

Last updated

May 29, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

79.17 of 100Reported as group

Quality

58.26

Promoting interoperability

98

Improvement activities

40

Cost

73.98

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: anne.jackson.1@448.direct.athenahealth.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Orthopaedic Center of Vero Beach P a

  dba Orthopaedic Center of Vero Beach

  • Orthopaedic Surgery Physician
  • Vero Beach, FL
  • NPI 1891795662
  Medicare reassignment NPD
• Premier Physical Therapy Sport Medicine Inc

  • Physical Therapist
  • Port St Lucie, FL
  • NPI 1649380064
  Medicare reassignment NPD
• Orthopaedic Center of Vero Beach P a

  • Durable Medical Equipment & Medical Supplies
  • Fort Pierce, FL
  • NPI 1407233661
  NPD
• Premier Physical Therapy & Sports Medicine

  • Physical Therapist
  • Jensen Beach, FL
  • NPI 1265724330
  NPD
• Premier Physical Therapy Sport Medicine Inc

  • Physical Therapist
  • Port St Lucie, FL
  • NPI 1417067844
  NPD
• Bayonne Physical Therapy Inc

  dba Golden Gate Physical Therapy

  • Physical Therapist
  • Naples, FL
  • NPI 1063443158
  NPD (past)
• Bayonne Physical Therapy Inc

  dba Estates Physical Therapy

  • Physical Therapist
  • Naples, FL
  • NPI 1710919584
  NPD (past)
• Quality Performance Rehabilitation Inc.

  • Physical Therapist
  • Port St Lucie, FL
  • NPI 1538209762
  NPD (past)
• Vero Orthopaedics II PA

  • Orthopaedic Surgery Physician
  • Sebastian, FL
  • NPI 1134441660
  NPD (past)
• Adaptive Home Therapy, Inc.

  • Occupational Therapist
  • Toms River, NJ
  • NPI 1831192673

  Physical Therapist

  NPD (past)
• Anil K Gupta MD PA

  dba Ocean Heart Center

  • Cardiovascular Disease Physician
  • Toms River, NJ
  • NPI 1669459319
  NPD (past)
• Low Country Physical Therapy

  • Physical Therapist
  • Murrells Inlet, SC
  • NPI 1639102312
  NPD (past)

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401321600000",
    "number": "1669640017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 35TH LN",
            "address_2": "STE 100",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606521",
            "telephone_number": "772-569-2330",
            "fax_number": "772-569-2630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 35TH LN",
            "address_2": "STE 100",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606521",
            "telephone_number": "772-569-2330",
            "fax_number": "772-569-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "ANNE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-19",
        "last_updated": "2014-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT27479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC 4963",
            "identifier": "SC4963",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Salomon Israel, DDS
• J Robin Atwell,MD PA
• J Surani PA
• Michelle Maria Jabeth-Bacon, ARNP
• Rebecca Jacinthe
• Harley Christina Jackson
• Jill Kimberly Jackson, MD
• Linda Jean Jacobetz, P.T.A.
• Laura M. Jaconetta, RD, LDN
• Gail Jaffe Satuloff

• Physical Therapist in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.