Active NPI
Sheila J. Jackson, R.K.T., C.D.R.S.
- Kinesiotherapist
- Baltimore, MD
National Provider Identifier
1932295375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Kinesiotherapist
- License
- 1332
- Practice address
- 10 N Greene St
Baltimore, MD 21201-1524 - Phone
- (410) 605-7000
- Fax
- (410) 605-7680
- NPI assigned
- Oct 5, 2006
- 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 |
|---|---|---|---|---|
| Kinesiotherapist | 226300000X | 1332 | NY | Primary |
Addresses
Primary practice location
10 N Greene St
Baltimore, MD 21201-1524
Mailing address
13505 Winding Trail CT
Silver Spring, MD 20906-5830
Phone (301) 603-0255
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 |
|---|---|---|---|
| 1332 | NY | MD | Kinesiotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213056000000",
"number": "1932295375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13505 WINDING TRAIL CT",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209065830",
"telephone_number": "301-603-0255",
"fax_number": "410-605-7680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 N GREENE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011524",
"telephone_number": "410-605-7000",
"fax_number": "410-605-7680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "SHEILA",
"middle_name": "J.",
"name_prefix": "Ms.",
"credential": "R.K.T., C.D.R.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2008-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "226300000X",
"taxonomy_group": "",
"desc": "Kinesiotherapist",
"state": "NY",
"license": "1332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.