Gregory Alan Jackson in Sarasota - Physical Therapist
Gregory Alan Jackson - NPI 1134158009
Gregory Alan Jackson is a Physical Therapist in Sarasota, Florida. Gregory Alan Jackson practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Gregory Alan Jackson is 1134158009. The last update date is 2009-04-07.
Gregory Alan Jackson's current location address is 5501 Swift Rd, Sarasota, Florida. You can contact this provider via phone number 9419247870 and fax number 9419252518. The mailing address for Gregory Alan Jackson is 5501 Swift Rd, Sarasota, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Alan Jackson |
|---|---|
| Address | 5501 Swift Rd, Sarasota, Florida |
| Phone Number | 9419247870 |
| Fax Number | 9419252518 |
| Sole Proprietor | N |
| Credentials | P.T. |
NPI Number Detail
| NPI Number | 1134158009 |
|---|---|
| Provider Enumeration Date | 2006-07-02 |
| Last Updated Date | 2009-04-07 |
Provider Mailing Address Detail
| Address | 5501 Swift Rd |
|---|---|
| City | Sarasota |
| State | Florida (FL) |
| Post Code | 3423162090 |
| Phone Number | 9419247870 |
| Fax Number | 9419252518 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT19566 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| Y060Y | FL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Gregory Alan Jackson by the Centers for Medicare & Medicaid Services (CMS)?
The Gregory Alan Jackson has been assigned the NPI (National Provider Identifier) 1134158009. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Gregory Alan Jackson is located?
The Gregory Alan Jackson is situated at the following address: 5501 Swift Rd, Sarasota, FL, 3423162090.
What is the Gregory Alan Jackson's specialty and taxonomy code?
The Gregory Alan Jackson's specialty is Physical Therapist, and the corresponding taxonomy code is 225100000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1134158009 to Gregory Alan Jackson?
The Centers for Medicare & Medicaid Services assigned the 1134158009 to Gregory Alan Jackson on 2006-07-02.
When was the information related to Gregory Alan Jackson most recently updated or refreshed?
The details pertaining to the Gregory Alan Jackson, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-04-07.