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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | MEDICARE INDIVIDUAL PROVIDER ID | 080007399 | 01 |
VA | RR MEICARE | P00799688 | 01 |
VA | 005602785 | 05 |
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 |
Street Address |
3640 HIGH ST SUITE 2A |
City | PORTSMOUTH |
State | VA |
Zip Code | 23707-3213 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 23707 |
Taxonomy Code | 208100000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Physical Medicine & Rehabilitation |
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. |
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 |
Find all providers in PORTSMOUTH |
City | PORTSMOUTH |
Zip Code | 23707 |
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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.