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
- 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
6600 N Val Verde Rd Ste A
Donna, TX 78537-3833
Phone (956) 377-5296
Other practice location 2
1900 S Jackson Rd Ste 2
McAllen, TX 78503-1589
Phone (956) 630-4400
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 and National Provider Directory roles.
-
- Rehabilitation Clinic/Center
- Edinburg, TX
- NPI 1427021245
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": "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"
},
{
"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"
}
],
"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.