Jackson Physical Therapy & Associates, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

JACKSON PHYSICAL THERAPY & ASSOCIATES, INC

Practice address

326 N Indiana Ave
Sellersburg, IN 47172-1223

Phone

(812) 246-8975

Fax

(812) 246-8977

NPI assigned

Aug 6, 2012

Last updated

Aug 6, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David A. Jackson, P.T.NPI 1679547269

Title

Owner/Provider

Phone

(812) 246-8975

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Andrew Jackson, P.T.

  • Physical Therapist
  • Sellersburg, IN
  • NPI 1679547269
  Medicare reassignment NPD Authorized official
• Mark E Brooks, PT, DSC, ECS, OCS

  • Clinical Electrophysiology Physical Therapist
  • Richmond, KY
  • NPI 1003807819

  IN

  Medicare reassignment NPD
• Craig L Satterley, PT

  • Physical Therapist
  • Crestwood, KY
  • NPI 1003157538
  NPD (past)

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344211200000",
    "number": "1972850238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 N INDIANA AVE",
            "city": "SELLERSBURG",
            "state": "IN",
            "postal_code": "471721223",
            "telephone_number": "812-246-8975",
            "fax_number": "812-246-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 N INDIANA AVE",
            "city": "SELLERSBURG",
            "state": "IN",
            "postal_code": "471721223",
            "telephone_number": "812-246-8975",
            "fax_number": "812-246-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON PHYSICAL THERAPY & ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-06",
        "last_updated": "2012-08-06",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "812-246-8975",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hook-Superx LLC (CVS Pharmacy # 03962)
• Jaren Cain Howard, PHARMD
• Indiana Physicians Services, LLC
• Jenny Dawn Ingle, FNP
• Intrinsic Genomics, LLC
• David Andrew Jackson, P.T.
• Jeanne Green M.D., LLC
• Dennis Jerome Jenkins, D.D.S.
• Erin Denise Jenkins, PT
• Robyn A Keeling, DMD

• Physical Therapist in Sellersburg, IN
• Providers in Sellersburg, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.