DANIEL L JACK JR. (NPI# 1083919278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083919278 |
| Entity Type | Individual |
| Full Name | DANIEL L JACK JR. |
| Credential | PT |
| Practice Address |
1185 To Lani Dr Stone Mountain GA 30083-5361 |
| Practice Telephone | 4042987708 |
| Mailing Telephone | 4042987708 |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2011-01-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT009595 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992238331 | Daniel Rayburn Jack | Student in an Organized Health Care Education/Training Program | 11234 Anderson St, Gme Office Westerly Suite 'c', Loma Linda, CA 92354-2804 | 2017-04-04 |
| Street Address |
1185 TO LANI DR |
| City | STONE MOUNTAIN |
| State | GA |
| Zip Code | 30083-5361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558830919 | Patriot Healthcare of Georgia, LLC | Family Medicine | 833 Hairston Road, Stone Mountain, GA 30083 | 2018-11-15 |
| 1710403431 | Trans Med Ems,llc | Ambulance | 4683 Redan Rd, Stone Mountain, GA 30083 | 2017-08-15 |
| 1447770482 | Dispatched Angels Home Care | In Home Supportive Care | 619 El Prado Court, Stone Mountain, GA 30083 | 2017-06-21 |
| 1396191086 | Suzanne Carter | Chore Provider | 1036 Allgood Rd, Stone Mountain, GA 30083 | 2016-05-11 |
| 1437520087 | Meaza Dada | Pharmacist | 1043 Thornwoode Lane, Stone Mountain, GA 30083 | 2015-10-08 |
| 1427436500 | Raeanne Elizabeth Gialanella | Occupational Therapist | 5839 Memorial Drive, Stone Mountain, GA 30083 | 2015-05-11 |
| 1265829824 | Latore Williams | Licensed Practical Nurse | 5300 Ridge Forest Drive, Stone Mountain, GA 30083 | 2015-04-22 |
| 1144625922 | Granville Theodore Freeman IIi | Counselor | 5000 Brittany Drive, Stone Mountain, GA 30083 | 2014-10-23 |
| 1588974208 | Terri R Collins | Counselor | 1020 Strap Hinge Trail, Stone Mountain, GA 30083 | 2010-10-15 |
| 1104064815 | Vistas Medical Center,pc | Clinic/Center | 5329 Memorial Dr Ste A, Stone Mountain, GEORGIA 30083 | 2009-02-03 |
| Find all providers in zip 30083 | ||||
| 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 |
|---|---|---|---|---|
| 1326675372 | Michele Ellen Audet | Physical Therapist | 1529 Sagewood Cir, Stone Mountain, GA 30083-1205 | 2020-03-26 |
| 1205490885 | Meryl Buena Sheats | Physical Therapist | 1303 English Manor Cir, Stone Mountain, GA 30087-5836 | 2019-04-29 |
| 1003302688 | Mark Andrew Stevens | Physical Therapist | 1227 Rockbridge Rd Ste 402, Stone Mountain, GA 30087 | 2018-07-06 |
| 1245747278 | Developmental & Rehabilitative Service, Inc | Physical Therapist | 5295 Stone Mountain Hwy Ste I, Stone Mountain, GA 30087-3439 | 2017-12-29 |
| 1386869329 | Patricia Hutcheson Willis | Physical Therapist | 147 Roe Hampton Ln, Stone Mountain, GA 30087-2503 | 2007-04-16 |
| 1528180692 | Rehab of Stone Mountain | Physical Therapist | 6254 F Memorial Drive, Stone Mountain, GA 30083 | 2007-04-06 |
| 1831215045 | Mahlayana Primrose Kalembo | Physical Therapist | 6792 Pine Valley Trce, Stone Mountain, GA 30087-5818 | 2007-03-21 |
| 1871650143 | Nicolo Florendo Ginsburg | Physical Therapist | 1900 Glenn Club Dr Apt 610, Stone Mountain, GA 30087-3469 | 2007-01-03 |
| 1962422196 | Maisie Violet Chin | Physical Therapist | 5810 Wyndemere Ln, Stone Mountain, GA 30087-2529 | 2006-07-20 |
| 1750350328 | Denise Edwards | Physical Therapist | 5295 Stone Mountain Hwy, Suite I, Stone Mountain, GA 30087-6416 | 2006-03-16 |
| Find all providers in STONE MOUNTAIN | ||||
| City | STONE MOUNTAIN |
| Zip Code | 30083 |
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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.