Active NPI
Elizabeth Kay Jackson, PT
- Physical Therapist
- Dansville, NY
National Provider Identifier
1821373853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 008423-1
- Practice address
- 284 Main St
Dansville, NY 14437-9753 - Phone
- (585) 335-4040
- Fax
- (585) 335-8181
- NPI assigned
- Oct 21, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 008423-1 | NY | Primary |
Addresses
Primary practice location
284 Main St
Dansville, NY 14437-9753
Mailing address
284 Main St
Dansville, NY 14437-9753
Phone (585) 335-4040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008423-1 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Livingston County | Past | Accepting new patients | |
| Dansville Central School District | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Local Education Agency (LEA)
- Dansville, NY
- NPI 1457406191
-
- Community Based Hospice Care Agency
- Mount Morris, NY
- NPI 1326060724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319155200000",
"number": "1821373853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "284 MAIN ST",
"city": "DANSVILLE",
"state": "NY",
"postal_code": "144379753",
"telephone_number": "585-335-4040",
"fax_number": "585-335-8181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "284 MAIN ST",
"city": "DANSVILLE",
"state": "NY",
"postal_code": "144379753",
"telephone_number": "585-335-4040",
"fax_number": "585-335-8181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "ELIZABETH",
"middle_name": "KAY",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-21",
"last_updated": "2011-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "008423-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dansville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.