Active NPI
Aaron Kerry Jackson, PTA
- Physical Therapy Assistant
- Harlingen, TX
National Provider Identifier
1881248052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2148969
- Practice address
- 702 N Ed Carey Dr
Harlingen, TX 78550-7914 - Phone
- (956) 440-1155
- Fax
- (956) 440-0913
- NPI assigned
- Jul 26, 2019
- Last updated
- Jul 26, 2019
- Sex
- Male
- 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 Therapy Assistant | 225200000X | 2148969 | TX | Primary |
Addresses
Primary practice location
702 N Ed Carey Dr
Harlingen, TX 78550-7914
Mailing address
1309 Cedar Ave
Donna, TX 78537-2821
Phone (956) 534-3794
Other practice location 1
1900 S Jackson Rd Ste 2
McAllen, TX 78503-1589
Phone (956) 630-4400
Other practice location 2
6600 N Val Verde Rd Ste A
Donna, TX 78537-3833
Phone (956) 377-5296
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 |
|---|---|---|---|
| 2148969 | TX | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RGV Rehab Center, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564099200000",
"number": "1881248052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1309 CEDAR AVE",
"city": "DONNA",
"state": "TX",
"postal_code": "785372821",
"telephone_number": "956-534-3794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 N ED CAREY DR",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785507914",
"telephone_number": "956-440-1155",
"fax_number": "956-440-0913"
}
],
"practiceLocations": [
{
"address_1": "1900 S Jackson Rd Ste 2",
"address_purpose": "LOCATION",
"city": "McAllen",
"state": "TX",
"postal_code": "785031589",
"country_code": "US",
"telephone_number": "956-630-4400",
"fax_number": "956-630-4447",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6600 N Val Verde Rd Ste A",
"address_purpose": "LOCATION",
"city": "Donna",
"state": "TX",
"postal_code": "785373833",
"country_code": "US",
"telephone_number": "956-377-5296",
"fax_number": "956-630-4447",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACKSON",
"first_name": "AARON",
"middle_name": "KERRY",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-26",
"last_updated": "2019-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2148969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harlingen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.