SARAH M JACKSON (NPI# 1164089702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164089702 |
| Entity Type | Individual |
| Full Name | SARAH M JACKSON |
| Credential | PT |
| Practice Address |
4212 Grand Ave Duluth MN 55807-2737 |
| Mailing Address |
1702 University Dr S Fargo ND 58103-4940 |
| Practice Telephone | 2187863500 |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2019-06-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 11486 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669095238 | Sarah Jackson | Behavior Technician | 234 Market Ave Sw Apt 49503, Grand Rapids, MI 49503-4080 | 2020-05-18 |
| 1043776404 | Sarah Lynn Jackson | Registered Nurse | 985 Forest Mills Rd, Waukon, IA 52172-7574 | 2019-02-11 |
| 1528550274 | Sarah Marie Jackson | Occupational Therapist | Genesis-putnam Center, 300 Seville Road, Hurricane, WV 25526 | 2018-05-30 |
| 1295284552 | Sarah Jackson | Nurse Practitioner | 111 S Magnolia Dr Ste 10, Tallahassee, FL 32301-2956 | 2016-09-28 |
| 1124409891 | Sarah R Jackson | Social Worker | 625 W Elk Grove Blvd, Elk Grove Village, IL 60007-4261 | 2015-06-17 |
| 1154725299 | Sarah Jackson | Registered Nurse | 777 S Fry Rd Ste 105, Katy, TX 77450-2297 | 2014-10-17 |
| 1992082556 | Sarah Jackson | Nurse Practitioner | 406 W South Jordan Pkwy Ste 500, South Jordan, UT 84095-3945 | 2011-11-10 |
| 1407160195 | Sarah Brook Jackson | Counselor | Hc 61 Box 272-4, Sallisaw, OK 74955-9440 | 2010-08-05 |
| 1578898771 | Sarah Cooper Jackson | Pediatrics | 25 W. Hickman Road, Suite 300, Waukee, IA 50263-5018 | 2009-10-06 |
| 1780821165 | Sarah Danielle Jackson | Occupational Therapy Assistant | 104 Mullen Dr, De Queen, AR 71832-8047 | 2009-01-07 |
| Street Address |
4212 GRAND AVE |
| City | DULUTH |
| State | MN |
| Zip Code | 55807-2737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205882594 | Adam Charles Swank | Family Medicine | 4212 Grand Ave, Essentia Health West Duluth Clinic, Duluth, MN 55807-2737 | 2006-05-26 |
| 1134743586 | Erika K Ehlers | Registered Nurse | 4212 Grand Ave, Duluth, MN 55807-2737 | 2020-06-02 |
| 1457991804 | Matt Kleven | Physician Assistant | 4212 Grand Ave, Duluth, MN 55807-2737 | 2020-01-14 |
| 1588204044 | Matthew G Schull | Physician Assistant | 4212 Grand Ave, Duluth, MN 55807-2737 | 2020-01-13 |
| 1124675566 | Amos Restad | Nurse Practitioner | 4212 Grand Ave, Duluth, MN 55807-2737 | 2019-08-21 |
| 1023578515 | Megan Elizabeth Markes | Physician Assistant | 4212 Grand Ave, Duluth, MN 55807-2737 | 2019-03-21 |
| 1134685035 | Anthony C Guidone | Nurse Practitioner | 4212 Grand Ave, Duluth, MN 55807-2737 | 2019-02-15 |
| 1679051791 | Brianna N Buske | Physical Therapist | 4212 Grand Ave, Duluth, MN 55807-2737 | 2018-07-31 |
| 1174075246 | Lucette Vankessel | Nurse Practitioner | 4212 Grand Ave, Essentia Health West Duluth Clinic, Duluth, MN 55807-2737 | 2016-10-25 |
| 1558721423 | Eric Harold Godfrey | Physical Therapist | 4212 Grand Ave, Essentia Health West Duluth Clinic, Duluth, MN 55807-2737 | 2016-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568918126 | Jaime Lynn Mallory | Counselor | 4000 W 9th St., Duluth, MN 55807 | 2016-09-01 |
| 1568817138 | Fathers Rise Together | Community/Behavioral Health | 319 N 22nd Ave West, Duluth, MN 55807 | 2016-05-02 |
| 1558660357 | Melissa June Huray | Counselor | 326 North Central Avenue, Duluth, MN 55807 | 2011-03-18 |
| 1376757682 | Chiropractic Health Center P A | Chiropractor | 215 North Central Ave, Duluth, MN 55807 | 2007-05-09 |
| 1639235914 | Mark Andrew Nelson Albee | Social Worker | 4214 Grand Avenue, Duluth Clinic-west, Duluth, MN 55807 | 2006-12-29 |
| 1851457758 | Northwood Children's Services, Inc. | Counselor | 4000 W 9th St, Duluth, MN 55807 | 2006-12-28 |
| 1679934012 | Rebecca Ann Peterson | Nurse Practitioner | 4325 Grand Ave, Duluth, MN 55807 | 2016-03-13 |
| 1225525645 | Mark J Engebretson | Social Worker | 5814 Elinor St, Duluth, MN 55807-1215 | 2018-04-20 |
| 1235756784 | Allissa Rardin | Social Worker | 720 N Central Ave, Duluth, MN 55807-1305 | 2020-07-01 |
| 1588898829 | Angela Sue Rosas | Registered Nurse | 618 1/2 N 56th Ave W, Duluth, MN 55807-1325 | 2009-05-14 |
| Find all providers in zip 55807 | ||||
| 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 |
|---|---|---|---|---|
| 1275131443 | Rv Patel, LLC. | Physical Therapist | 3293 Cambridge Ave, Duluth, GA 30096-9914 | 2020-10-11 |
| 1154932200 | Kwon Physical Therapy | Physical Therapist | 3473 Satellite Blvd # 108n, Duluth, GA 30096-8690 | 2020-08-12 |
| 1639795321 | Hailey Corradi | Physical Therapist | 526 N 12th Ave E, Duluth, MN 55805-2231 | 2020-06-18 |
| 1982264016 | Jennifer M Wraalstad | Physical Therapist | 4212 Grand Avenue, Duluth, MN 55807-2737 | 2019-06-20 |
| 1588134399 | Danielle Mcgee | Physical Therapist | 3870 Pleasant Hill Rd Ste 1, Duluth, GA 30096-4807 | 2018-12-05 |
| 1992201081 | Sarah M Jones | Physical Therapist | 1440 91st Ave W, Duluth, MN 55808-1530 | 2018-04-05 |
| 1053829390 | Kelsey Elizabeth Swales | Physical Therapist | Essentia Health Polinsky Medical Rehabilitation Center, 530 East Second Street, Duluth, MN 55805-1913 | 2018-01-22 |
| 1972011476 | James Ro | Physical Therapist | 3655 Howell Ferry Rd Ste 300, Duluth, GA 30096-3186 | 2018-01-18 |
| 1679098081 | Michael Thomas Mcknight | Physical Therapist | 3680 Pleasant Hill Rd Ste 101, Duluth, GA 30096-3268 | 2017-08-07 |
| 1801317425 | Victor Chu | Physical Therapist | 3455 Peachtree Industrial Blvd Ste 825, Duluth, GA 30096-6500 | 2017-07-05 |
| Find all providers in DULUTH | ||||
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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.