THERESA G JACKSON


Address: 3640 High St, Suite 2a, Portsmouth, VA 23707-3213
Phone: 7573976930

THERESA G JACKSON (NPI# 1245239227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245239227
Entity Type Individual
Full Name THERESA G JACKSON
Credential MD
Practice Address 3640 High St
Suite 2a
Portsmouth
VA 23707-3213
Practice Telephone 7573976930
Practice Fax Number 7573974864
Mailing Telephone 7573976930
Mailing Fax Number 7573974864
Enumeration Date 2005-07-20
Last Update Date 2013-07-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine 0101050002 VA Allopathic & Osteopathic Physicians
Y 208100000X Physical Medicine & Rehabilitation 0101050002 VA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA MEDICARE INDIVIDUAL PROVIDER ID 080007399 01
VA RR MEICARE P00799688 01
VA 005602785 05

Other Providers THERESA JACKSON

NPI Name Taxonomy Address Enumeration
1144767906 Theresa A Jackson Community Health Worker 3112 33rd St Ne, Canton, OH 44705-3869 2017-01-31
1104207083 Theresa Jackson Chore Provider 77 E Great Lakes St Apt 303, River Rouge, MI 48218-1584 2015-06-16
1164818993 Theresa Jackson Emergency Medicine 4629 E 13th Pl, Tulsa, OK 74112-6103 2015-04-08
1063832509 Theresa Jackson Counselor 18 J Braden Thompson Rd, Forestdale, MA 02644-1555 2014-04-23
1083947592 Theresa Michelle Jackson Registered Nurse 337 E 197th St, Euclid, OH 44119-1121 2009-09-15
1841486289 Theresa Y Jackson Massage Therapist 1803 Boulevard, Jacksonville, FL 32206-4342 2007-09-19
1790332443 Theresa Lynn Jackson Dietitian, Registered 2950 Elmwood Ave, Kenmore, NY 14217-1304 2019-08-19
1093280422 Theresa Jackson Massage Therapist 3647 Cedar Ave S, Minneapolis, MN 55407-2919 2018-10-12
1275021834 Theresa E. Jackson Social Worker 2392 Edgewood Ave N, Jacksonville, FL 32254-1725 2018-04-28
1568709335 Theresa F Jackson Pharmacist 3550 Centerville Hwy, Snellville, GA 30039-4133 2013-01-13

Office Location

Street Address 3640 HIGH ST
SUITE 2A
City PORTSMOUTH
State VA
Zip Code 23707-3213

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336147719 Jeffrey Lynn Riblet Surgery 3640 High St, Suite 2f, Portsmouth, VA 23707-3213 2005-07-11
1114440484 Juanita Parker Nurse Practitioner 3640 High St, Portsmouth, VA 23707-3213 2017-07-19
1740726199 Danielle Bibeault Nurse Practitioner 3640 High St, Suite 1a, Portsmouth, VA 23707 2017-01-10
1639620057 Sarah Anderson Nurse Practitioner 3640 High St, Suite 2-f, Portsmouth, VA 23707-3213 2016-10-20
1245539998 Stephanie Brashear Family Medicine 3640 High St, Portsmouth, VA 23707 2011-03-21
1740588425 Foot & Ankle Medical Center, LLC Podiatrist 3640 High St, Suite D1, Portsmouth, VA 23707-3213 2011-03-04
1922300490 Sarah R Darrow Registered Nurse 3640 High St, Suite 3b, Portsmouth, VA 23707-3213 2010-12-03
1407021397 Patricia M Behlmer Psychiatry & Neurology 3640 High St, Ste. 1f, Portsmouth, VA 23707-3213 2008-04-23
1427229749 Maryview Hospital Psychiatry & Neurology 3640 High St, Suite 1a, Portsmouth, VA 23707-3213 2008-03-14
1699853218 Orthopaedic Surgery Centers, PC II Durable Medical Equipment & Medical Supplies 3640 High St, Suite 2a, Portsmouth, VA 23707-3213 2006-11-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508410382 Ricky Lee Key Sr. Counselor Kaleidoscope Counseling and Case Management, 1712 Airline Blvd, Portsmouth, VA 23707 2019-07-30
1528627965 Amy M Baker Student in an Organized Health Care Education/Training Program 3640 High Street, Suite 2f Portsmouth Family Medicine, Portsmouth, VA 23707 2019-06-10
1033774625 Himani Bhasin Student in an Organized Health Care Education/Training Program 3640 High Street (suite 2f), Evms Family Medicine - Portsmouth Program, Portsmouth, VA 23707 2019-05-08
1851854442 Emma Daymond Student in an Organized Health Care Education/Training Program 3640 High Street, Suite 2f, Portsmouth, VA 23707 2019-04-10
1407329543 Heart Harmony Home Health and Services Home Health 505 Cumberland Street, Suite 2, Portsmouth, VA 23707 2019-01-10
1548780869 A. Richards Counseling & Psychotherapy, LLC Substance Abuse Rehabilitation Facility 720 Rodman Ave., Portsmouth, VA 23707 2017-06-27
1316485196 Melinda Macy Occupational Therapy Assistant 314 Florida Ave, Portsmouth, VA 23707 2017-02-01
1831526045 Anointed and Blessed Home Health Care, LLC Home Health 806 Loudoun Ave, Portsmouth, VA 23707 2013-10-02
1639236284 The Center for Pain Management Clinic/Center 3315 High Street, Portsmouth, VA 23707 2007-01-02
1750444741 Wal-mart Stores East, Lp Technician/Technologist 1098 Fredrick Blvd, Portsmouth, VA 23707 2006-12-19
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Taxonomy Information

Taxonomy Code 208100000X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation

Taxonomy Definition

Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265689095 Stanley C Allen Physical Medicine & Rehabilitation 105 Corporate Dr, Pease International Tradeport, Portsmouth, NH 03801-6825 2008-08-22
1952577751 Dmitri Pavlo Dmytruk Physical Medicine & Rehabilitation 875 Greenland Rd Unit C4, Portsmouth, NH 03801-4163 2008-05-01
1679761894 Kelley Ann Frost-nelson Physical Medicine & Rehabilitation 15 Rye Street, Ste 125 Pease International Tradeport, Portsmouth, NH 03801 2007-10-12
1922106467 Sport and Spine Physical Therapy Inc. Physical Medicine & Rehabilitation 775 Lafayette Rd Ste 9, Portsmouth, NH 03801-5434 2006-09-20
1497867162 Gale G Brown Physical Medicine & Rehabilitation 300 Court St, Portsmouth, NH 03801-4642 2006-08-31
1063526952 Minh T Tran Physical Medicine & Rehabilitation Seacoast Area Physiatry, 875 Greenland Rd-c4, Portsmouth, NH 03801 2006-08-18
1396739942 Joan L Redd Physical Medicine & Rehabilitation 3636 High St, Portsmouth, VA 23707-3236 2005-09-08
1033564521 Vanessa Wanjeri Physical Medicine & Rehabilitation 1805 27th St, Portsmouth, OH 45662-2640 2016-05-03
1831436633 Nrhn Rehab Physician Services, Inc Physical Medicine & Rehabilitation 105 Corporate Dr, Pease International Tradeport, Portsmouth, NH 03801-6825 2013-01-14
1437449303 Rechel Orlino Kemp Physical Medicine & Rehabilitation 1805 27th St, Portsmouth, OH 45662-2640 2011-04-13
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Competitor

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City PORTSMOUTH
Zip Code 23707

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Dataset Information

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.

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