MR. HENRY JACKSON (NPI# 1063667053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063667053 |
| Entity Type | Individual |
| Full Name | MR. HENRY JACKSON |
| Credential | P.T. |
| Practice Address |
5605 Tilden Ave Brooklyn NY 11203-4819 |
| Practice Telephone | 7184512905 |
| Practice Fax Number | 7184512577 |
| Mailing Telephone | 7184512905 |
| Mailing Fax Number | 7184512577 |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2008-11-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 003461 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871147116 | Henry Jackson | Dentist | 55 Glenda Trce, Newnan, GA 30265-3887 | 2019-07-25 |
| 1699213959 | Henry Lee Jackson Jr. | Dentist | 334 E Hanes Mill Rd, Winston Salem, NC 27105-9135 | 2017-02-07 |
| 1124441621 | Henry Edward Jackson | Kinesiotherapist | 1703 Georgia Ave, Richmond, VA 23220 | 2014-02-04 |
| 1497953368 | Henry Benson Jackson | Social Worker | 10 Peterboro Det. Central City Community Mental Health, Detroit, MI 48201-2722 | 2007-07-03 |
| 1871610899 | Henry Clarke Jackson Jr. | Specialist/Technologist | 1119 Veterans Dr, Florence, AL 35630-4951 | 2007-03-23 |
| 1679549836 | Henry A Jackson | Internal Medicine | 4224 Houma Blvd Ste 380, Metairie, LA 70006-2980 | 2006-02-27 |
| 1568833606 | Henry Jackson | Social Worker | 1500 Waters Pl, Bronx, NY 10461-2723 | 2015-10-15 |
| 1558624866 | Henry Carson Jackson | Family Medicine | 10497 Town and Country Way, Suite 360, Houston, TX 77024-1117 | 2012-06-21 |
| 1811280902 | Henry Jackson | Case Manager/Care Coordinator | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2011-05-23 |
| 1285643452 | Henry Jackson | Internal Medicine | 1 Freedom Way, Vamc-augusta-ud (26), Augusta, GA 30904-6258 | 2006-08-05 |
| Street Address |
5605 TILDEN AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11203-4819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615747 | Winnie Ming Wong | Dance Therapist | 451 Clarkson Ave R Building, Idd/mh Unit, R5west, Brooklyn, NY 11203 | 2020-10-06 |
| 1174134803 | Jermiah Jonoah Jones | Social Worker | 307 E 54th St, 3, Brooklyn, NY 11203 | 2020-08-14 |
| 1780201566 | Jesvin Jeyapaulraj | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate, General Surgery Department, Brooklyn, NY 11203 | 2020-06-29 |
| 1881219731 | Natasha Thomas | Specialist | 140 East 52nd St Brooklyn, Apt 1r, Brooklyn, NY 11203 | 2020-06-16 |
| 1679197396 | Syed Hamza Bin Waqar | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Msc 50, Suny Downstate, Brooklyn, NY 11203 | 2020-05-29 |
| 1013536846 | Isaak Rubinov | Student in an Organized Health Care Education/Training Program | 91 E 39th St, Brooklyn, NY 11203 | 2020-04-12 |
| 1932733615 | Shade Celestine | Specialist | 293 East53rd Street, Brooklyn, NY 11203 | 2020-03-03 |
| 1023656147 | Shenez Brutus | Nurse Practitioner | Suny Downstate College of Nursing, 450 Clarkson Avenue, Brooklyn, NY 11203 | 2019-12-19 |
| 1215586425 | Terry-ann Lee | Registered Nurse | 440 East 45th Street, Kings, NY 11203 | 2019-09-10 |
| 1568023828 | Mmeyeneabasi David Omede | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate Medical Center, Brooklyn, NY 11203 | 2019-06-26 |
| Find all providers in zip 11203 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669173 | Greenland Physical Therapy PC | Physical Therapist | 769 58th St Ste 1, Brooklyn, NY 11220-5180 | 2020-11-02 |
| 1477152395 | Jimmy Lin | Physical Therapist | 774 52nd St Apt 2r, Brooklyn, NY 11220-2841 | 2020-10-21 |
| 1740897008 | Kynaston Schultz | Physical Therapist | 794 Union St Fl 3, Brooklyn, NY 11215-7724 | 2020-09-29 |
| 1548876642 | Ilya Shikh | Physical Therapist | 2748 Ocean Ave Apt 7, Brooklyn, NY 11229-4735 | 2020-09-23 |
| 1255946505 | Karime Wayne Condison | Physical Therapist | 1187 Eastern Pkwy Apt 17, Brooklyn, NY 11213-6331 | 2020-09-14 |
| 1144834474 | Mohamed Abohussein Abohussein | Physical Therapist | 581 5th Ave Ste 1, Brooklyn, NY 11215-8450 | 2020-09-03 |
| 1508479429 | Jia Hao Xu | Physical Therapist | 1617 E 12th St, Brooklyn, NY 11229-1011 | 2020-08-29 |
| 1124631189 | Joseph F Dupont | Physical Therapist | 352 9th St, Brooklyn, NY 11215-4008 | 2020-08-28 |
| 1033721097 | St Karas Rehab Services Inc | Physical Therapist | 2813 Ocean Ave Apt 1a, Brooklyn, NY 11235-3127 | 2020-08-20 |
| 1891307286 | Vim Physical Therapy P.C. | Physical Therapist | 1565 W 11th St, Brooklyn, NY 11204-6245 | 2020-08-18 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.