Latonya Jackson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1301249 Issued in TX

Practice address

3456 Hwy 16 South
Bandera, TX 78003

Phone

(830) 796-3447

NPI assigned

Mar 7, 2018

Last updated

Mar 7, 2018By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Momentum Physical and Sports Rehabilitation Limited PartnershipGroup PAC ID 0446575732, 51 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

63.18 of 100Reported as group

Quality

59.83

Improvement activities

20

Cost

75.9

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.

• Momentum Physical & Sports Rehabilitation Limited Partnership

  • Physical Therapist
  • Helotes, TX
  • NPI 1871990275
  Medicare reassignment Care Compare group NPD
• Momentum Physical & Sports Rehabilitation Limited Partnership

  • Physical Therapist
  • Tampa, FL
  • NPI 1609243328
  NPD
• Comprehensive Physical Therapy

  • Physical Therapist
  • Bandera, TX
  • NPI 1215037411
  NPD (past)
• Kinematic Concepts Physical Therapy & Sports Rehab, PLLC

  dba Momentum Physical Therapy & Sports Rehab

  • Physical Therapist
  • San Antonio, TX
  • NPI 1023079712
  NPD (past)

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520380800000",
    "number": "1760984579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3456 HWY 16 SOUTH",
            "city": "BANDERA",
            "state": "TX",
            "postal_code": "78003",
            "telephone_number": "830-796-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3456 HWY 16 SOUTH",
            "city": "BANDERA",
            "state": "TX",
            "postal_code": "78003",
            "telephone_number": "830-796-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "LATONYA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1301249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "1301249",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Autura Hopkins
• Maria Elise Horgan
• Susan H Hull, PHD
• Gregory S Hupp, PH.D.
• Sandra Lynn Ingram
• JH Wellness PLLC
• Amanda Raye Jones
• Jayson Doyle Jones, MA, MARE, LCDC
• Anne-Marie Fraser Kennedy, OTA
• Ginger Kinchen, DC

• Physical Therapist in Bandera, TX
• Providers in Bandera, 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 7, 2018; 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.