Howard Leslie Jackson, PT

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

License

PT 18310 Issued in FL

Practice address

7801 Airport Pulling Rd N
Naples, FL 34109-1717

Phone

(239) 566-2817

NPI assigned

Jul 12, 2012

Last updated

Jul 12, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Omni Therapy

  • Physical Therapist
  • Baton Rouge, LA
  • NPI 1093872491
  NPD (past)
• Physical Therapy of Baton Rouge, Inc

  • Physical Therapist
  • Baton Rouge, LA
  • NPI 1215028618
  NPD (past)

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342051200000",
    "number": "1902161243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 KENNEDY PL",
            "city": "TUCKAHOE",
            "state": "NY",
            "postal_code": "107071611",
            "telephone_number": "914-506-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 AIRPORT PULLING RD N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341091717",
            "telephone_number": "239-566-2817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "HOWARD",
        "middle_name": "LESLIE",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-12",
        "last_updated": "2012-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "FL",
            "license": "PT 18310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J.a.G Redefined Healthcare (Soleil Health and Wellness)
• Jac Naples L.L.C. (Gulf Shore Apothecary)
• Jackson Center, PA
• Jackson Medical Enterprise
• Angela Noelle Jackson, M.A.
• Jon Ryan Jackson, M.D.
• Kelly Ann Jackson, SLP
• Margaret Jackson
• Sharon Christina Jackson, M.D.
• Timothy L Jackson

• Physical Disabilities Residential Treatment Facility in Naples, FL
• Providers in Naples, FL by specialty
• Physical Disabilities Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.