Kari Jackson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01704400 Issued in NJ

Practice address

737 Main St Ste 5
Lumberton, NJ 08048-3089

Phone

(609) 832-0505

Fax

(609) 832-0506

NPI assigned

Sep 19, 2011

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

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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 and National Provider Directory roles.

• Esd PT OT & SLP PLLC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1003383308

  NJ

  Medicare reassignment NPD

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

{
    "created_epoch": "1316390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1689956427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 MAMARONECK AVE STE 140",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106055224",
            "telephone_number": "888-830-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 MAIN ST STE 5",
            "city": "LUMBERTON",
            "state": "NJ",
            "postal_code": "080483089",
            "telephone_number": "609-832-0505",
            "fax_number": "609-832-0506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 S 7th St Apt 307",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191063227",
            "country_code": "US",
            "telephone_number": "215-840-9154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "KARI",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-19",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "017584",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01704400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annamarie Ibay, M.D
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• In-Vision Optics Inc.
• Insight Mind Psychiatry LLC
• Integrity Home Health Care LLC
• Susan Caprice Jackson, PMHNP-BC
• Sapna Jain-Bhalodia, D.O.
• Neal Justin Johnson, DDS
• Jennifer Jones, MA, LPC, NCC
• Arun Kachroo, M.D.

• Physical Therapist in Lumberton, NJ
• Providers in Lumberton, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.