The Jackson Clinics LP

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

THE JACKSON CLINICS LP

Practice address

119 The Plains Road
Suite 100
Middleburg, VA 20118

Phone

(540) 687-8181

NPI assigned

Oct 15, 2015

Last updated

Oct 15, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

USPHAs reported in NPPES

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

Authorized official

Name

Bobbi White

Title

Billing Supervisor

Phone

(540) 687-8181

Specialties & licenses 1

Addresses

Other names 1

• The Jackson Clinics LP Former legal business name

Part of

Jackson Clinics LTD PRT

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444867200000",
    "number": "1912378977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1769",
            "city": "MIDDLEBURG",
            "state": "VA",
            "postal_code": "20118",
            "telephone_number": "540-687-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 THE PLAINS ROAD",
            "address_2": "SUITE 100",
            "city": "MIDDLEBURG",
            "state": "VA",
            "postal_code": "20118",
            "telephone_number": "540-687-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE JACKSON CLINICS LP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "USPH",
        "enumeration_date": "2015-10-15",
        "last_updated": "2015-10-15",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "BOBBI",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "540-687-8181"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Jackson Clinics LP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kathryn A Stewart, NP
• Lisa Marie Stewart, DPT
• Charles W Stine, OD
• Andrew L Stone, O.D.
• The Jackson Clinics LLC
• Three Branches Therapy, LLC
• TJC Concierge LLC
• True North Psychological Services, LLC
• Louis D. Wilson, P.T., O.C.S.
• Mary Lynn Wilson, P.T.

• Physical Therapist in Middleburg, VA
• Providers in Middleburg, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; 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.