ROBERT JACKSON (NPI# 1346704855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346704855 |
| Entity Type | Individual |
| Full Name | ROBERT JACKSON |
| Other Name | ROBERT JACKSON |
| Credential | PTA |
| Practice Address |
2601 W Randol Mill Rd Arlington TX 76012-4289 |
| Mailing Address |
900 Matisse Dr Apt 5010 Fort Worth TX 76107-2487 |
| Practice Telephone | 8176943037 |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2019-01-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P0010X |
Physical Medicine & Rehabilitation Specialization: Pediatric Rehabilitation Medicine |
2119678 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538701487 | Robert Jackson | Physical Therapist | 3056 Healthy Way Ste 116, Birmingham, AL 35243-2435 | 2019-10-11 |
| 1881003655 | Robert Donald Jackson | Social Worker | 151 Knollcroft Rd # 116d, Lyons, NJ 07939-5001 | 2014-08-06 |
| 1780005496 | Robert Earl Jackson Jr. | Community Health Worker | 17 Wickham Dr, Columbus, GA 31907-6328 | 2013-12-23 |
| 1073942371 | Robert Jackson | Massage Therapist | 502 11th St Se, Decatur, AL 35601-4908 | 2013-11-06 |
| 1447548573 | Robert Joseph Jackson | Licensed Practical Nurse | 5454 East State St, Hermitage, PA 16148 | 2011-07-11 |
| 1457515330 | Robert Anthony Jackson | Dentist | 2816 Veach Rd., Unit 305, Owensboro, KY 42303 | 2008-07-10 |
| 1437357399 | Robert D Jackson | Counselor | 5525 Erindale Dr Ste 112, Colorado Springs, CO 80918-6960 | 2007-07-03 |
| 1174736029 | Robert Allan Jackson | Physician Assistant | 2109 Brookview Ter Apt B, Pekin, IL 61554-7320 | 2007-05-08 |
| 1144389347 | Robert W Jackson | Dentist | 209 Mimosa Dr, Thomasville, GA 31792-6633 | 2006-12-06 |
| 1144305152 | Robert Eric Jackson | Internal Medicine | 291 Indian Lake Blvd, Hendersonville, TN 37075-3653 | 2006-10-26 |
| Street Address |
2601 W RANDOL MILL RD |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76012-4289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437117256 | Ward & Blake Investments, LLC | Skilled Nursing Facility | 2601 W Randol Mill Rd, Arlington, TX 76012-4289 | 2006-05-02 |
| 1225597867 | Gareth Rogers Govender | Physical Therapist | 2601 W Randol Mill Rd, Arlington, TX 76012-4289 | 2019-03-13 |
| 1881168136 | Next Gen Sp LLC | Skilled Nursing Facility | 2601 W Randol Mill Rd, Arlington, TX 76012-4289 | 2019-01-18 |
| 1043792518 | Nick Georgulos | Physical Therapy Assistant | 2601 W Randol Mill Rd, Arlington, TX 76012-4289 | 2018-08-31 |
| 1073094645 | Marcel De Oliveira | Physical Therapy Assistant | 2601 W Randol Mill Rd, Arlington, TX 76012-4289 | 2018-08-22 |
| 1184868648 | Pinnacle Health Facilities Xxix Lp | Skilled Nursing Facility | 2601 W Randol Mill Rd, Arlington, TX 76012-4289 | 2009-04-28 |
| 1285804161 | Wellspring Psychological Associates, P.l.l.c. | Counselor | 2601 W Randol Mill Rd, Arlington, TX 76012-4289 | 2008-03-06 |
| 1326217290 | Senior Connections of Texas, Pllc | Counselor | 2601 W Randol Mill Rd, Arlington, TX 76012-4289 | 2008-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366073736 | Britney Beard | Counselor | 715 N Fielder Rd Ste A, Arlington, TX 76012 | 2020-02-04 |
| 1932762531 | Devin Austin Deloe | Speech-Language Pathologist | Arlington Villas, 2601 W Randol Mill Rd., Arlington, TX 76012 | 2019-04-18 |
| 1275000135 | Soh of Texas Samson Liu Pllc | Dentist | 1625 Pecan Dr, Arlington, TX 76012 | 2018-10-30 |
| 1295200749 | Eness, Inc. | In Home Supportive Care | 1321 West Randol Mill Road, #108, Arlington, TX 76012 | 2018-10-11 |
| 1073967626 | Maya Alex Kuriakose | Obstetrics & Gynecology | 1001 N. Waldrop, Suite 505, Arlington, TX 76012 | 2016-04-20 |
| 1710359971 | Amir Izaddoust | Dentist | 723 N. Fielder Rd, Suite E, Dallas, TX 76012 | 2015-10-28 |
| 1639553738 | Alicia Rider | Specialist/Technologist | 1507 Cherokee Szt, Arlington, TX 76012 | 2015-07-17 |
| 1508274614 | Neurodiagnostic Consultants, L.L.C. | Specialist | 1102 Orchard Drive, Arlington, TX 76012 | 2014-08-01 |
| 1578974663 | Lan Ngoc Nguyen, Pharm.d.,,llc | Pharmacy | 1102 Orchard Dr., Suite B, Arlington, TX 76012 | 2014-05-12 |
| 1871854471 | Takeisha Jones | Occupational Therapy Assistant | 532 Claire Ct, Arlington, TX 76012 | 2012-05-31 |
| Find all providers in zip 76012 | ||||
| Taxonomy Code | 2081P0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pediatric Rehabilitation Medicine |
| A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate for PRM was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Early discussions underway |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366095911 | Heidi Janette Mendez | Physical Medicine & Rehabilitation | 8115 N Los Ebanos Rd Ste 4, Alton, TX 78573-1670 | 2019-07-23 |
| 1285063990 | Para Pediatric & Adult Rehabilitation Associates, Pllc | Physical Medicine & Rehabilitation | 3800 N Mesa St Ste A2-343, El Paso, TX 79902-1538 | 2013-11-03 |
| 1215279492 | Sruthi Pandipati Thomas | Physical Medicine & Rehabilitation | 6701 Fannin St # D1280, Houston, TX 77030 | 2013-03-26 |
| 1427255223 | Glendaliz Bosques | Physical Medicine & Rehabilitation | 1333 Moursund St # E105, Houston, TX 77030-3405 | 2007-06-27 |
| 1033275888 | Susan Victoria Kattula Gammon | Physical Medicine & Rehabilitation | 6621 Fannin St., Houston, TX 77030 | 2006-12-28 |
| 1154490662 | Cynthia A Mckenna | Physical Medicine & Rehabilitation | 2606 Brandi Ln, Corinth, TX 76210-1625 | 2006-11-07 |
| 1770681637 | Itzel Solis | Physical Medicine & Rehabilitation | 27135 Mesa Verde Dr, Magnolia, TX 77354-4097 | 2006-09-21 |
| 1578595658 | Barbara C Wechsler | Physical Medicine & Rehabilitation | Texas Children's Hospital 6621 Fannin, West Tower 21st Floor Rm 329, Houston, TX 77030 | 2006-07-07 |
| 1235773276 | Jose Jesus Marquez Jr. | Physical Medicine & Rehabilitation | 1514 N Zaragoza Rd, El Paso, TX 79936-8031 | 2019-11-02 |
| 1346881315 | Amanda Michelle Hanson | Physical Medicine & Rehabilitation | 900 Junction Dr, Allen, TX 75013-5290 | 2019-10-01 |
| Find all providers with the same taxonomy | ||||
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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.