Carol Jean Jackson in Burbank - Physical Therapist
Carol Jean Jackson - NPI 1538164827
Carol Jean Jackson is a Physical Therapist in Burbank, California. Carol Jean Jackson practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Carol Jean Jackson is 1538164827. The last update date is 2010-05-21.
Carol Jean Jackson's current location address is 100 N 1st St Ste 103, Burbank, California. You can contact this provider via phone number 8188467100 and fax number 8188467101. The mailing address for Carol Jean Jackson is 100 N 1st St Ste 103, Burbank, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carol Jean Jackson |
|---|---|
| Address | 100 N 1st St Ste 103, Burbank, California |
| Phone Number | 8188467100 |
| Fax Number | 8188467101 |
| Sole Proprietor | N |
| Credentials | P.T. |
NPI Number Detail
| NPI Number | 1538164827 |
|---|---|
| Provider Enumeration Date | 2005-06-14 |
| Last Updated Date | 2010-05-21 |
Provider Mailing Address Detail
| Address | 100 N 1st St Ste 103 |
|---|---|
| City | Burbank |
| State | California (CA) |
| Post Code | 9150218450 |
| Phone Number | 8188467100 |
| Fax Number | 8188467101 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT17651 |
|
Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 20-0700404 | CA | TAX I.D. # FOR FACILITY | |
| OPT176510 | CA | BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Carol Jean Jackson by the Centers for Medicare & Medicaid Services?
The Carol Jean Jackson has been issued the NPI (National Provider Identifier) 1538164827, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Carol Jean Jackson's facilities are geographically located?
The facilities of Carol Jean Jackson are physically situated at the following location: 100 N 1St St Ste 103, Burbank, CA, 9150218450.
What is Carol Jean Jackson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Carol Jean Jackson is Physical Therapist, and the taxonomy code that categorizes this field of expertise is 225100000X.
When did Carol Jean Jackson receive its 1538164827 assignment?
The Carol Jean Jackson was assigned its 1538164827 on 2005-06-14, which is the date when this unique identifier was issued to the organization.
When was the Carol Jean Jackson's information last updated?
The Carol Jean Jackson's information was last updated on 2010-05-21.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH