CHARLES LEE JACKSON JR. (NPI# 1386937183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386937183 |
| Entity Type | Individual |
| Full Name | CHARLES LEE JACKSON JR. |
| Credential | PTA |
| Practice Address |
2250 E Flamingo Rd Las Vegas NV 89119-5170 |
| Mailing Address |
2905 Portada Ave Henderson NV 89074-2845 |
| Practice Telephone | 7027844303 |
| Practice Fax Number | 7028920237 |
| Mailing Telephone | 7026356033 |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2011-05-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 2012 | NV | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457896839 | Charles Jackson | Counselor | 2911 Penick St, Shreveport, LA 71109-4337 | 2016-12-21 |
| 1043655681 | Charles D Jackson | Driver | 4856 W.12th, Suite 1, Cleveland, OH 44109-3424 | 2013-05-09 |
| 1437594553 | Charles Jackson | Social Worker | 18712 Quarry St, Riverview, MI 48193-4527 | 2013-05-02 |
| 1508154105 | Charles Gilbert Jackson Jr. | Psychiatry & Neurology | 88 Crescent St, Northampton, MA 01060-2115 | 2011-07-16 |
| 1457669848 | Charles Edward Jackson Jr. | Psychologist | 1407 Healing Water Lane, N.las Vegas, NV 89031 | 2010-09-20 |
| 1588994081 | Charles Dustin Jackson | Counselor | 5004 Nw 26th St, Oklahoma City, OK 73127-1722 | 2010-01-05 |
| 1508985250 | Charles Arthur Jackson Jr. | Chiropractor | 2455 E Hill Rd, Grand Blanc, MI 48439 | 2007-03-27 |
| 1760535926 | Charles Jackson | Podiatrist | 820 N Dalmont St, Hobbs, NM 88240-5214 | 2007-01-19 |
| 1982769840 | Charles Jackson | Dentist | 3540 82nd St, Jackson Heights, NY 11372-5159 | 2006-12-22 |
| 1437224813 | Charles Wesley Jackson Jr. | Psychologist | 2980 Washington Blvd, Cleveland Heights, OH 44118-2450 | 2006-11-21 |
| Street Address |
2250 E FLAMINGO RD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89119-5170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083671010 | Amir Aftab | Internal Medicine | 2250 E Flamingo Rd, Las Vegas, NV 89119-5170 | 2006-04-26 |
| 1184257297 | J. Tyler Gubler, D.o., Pllc | Family Medicine | 2250 E Flamingo Rd, Las Vegas, NV 89119-5170 | 2020-02-17 |
| 1811529845 | Melchor San Pedro | Registered Nurse | 2250 E Flamingo Rd, Las Vegas, NV 89119-5170 | 2020-02-07 |
| 1669012357 | Eric Wayne Frorenza-hubbard | Internal Medicine | 2250 E Flamingo Rd, Las Vegas, NV 89119-5170 | 2020-01-09 |
| 1548815012 | Neil James Drobitch | Physical Therapist | 2250 E Flamingo Rd, Las Vegas, NV 89119-5170 | 2019-08-01 |
| 1124596978 | Husameddin Elmesallati Md Pllc | Internal Medicine | 2250 E Flamingo Rd, Las Vegas, NV 89119-5170 | 2018-11-09 |
| 1619443025 | Hatim Gemil Md Pllc | Internal Medicine | 2250 E Flamingo Rd, Las Vegas, NV 89119-5170 | 2018-10-23 |
| 1699254763 | Laura Fernandez Batres Garcia | Physical Therapist | 2250 E Flamingo Rd, Las Vegas, NV 89119-5170 | 2018-08-09 |
| 1841779048 | Derek Clayton Kramer | Physical Therapist | 2250 E Flamingo Rd, Las Vegas, NV 89119-5170 | 2018-08-08 |
| 1790264992 | Tonya Dedera | Occupational Therapist | 2250 E Flamingo Rd, Las Vegas, NV 89119-5170 | 2018-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669089298 | Jennifer Chavon Cruse | Technician | [email protected], 1775 East Tropicana Avenue 16-b, Las Vegas, NV 89119 | 2020-09-28 |
| 1063024214 | Rosa Isela Martinez Gonzalez | Technician | 4324 S. Eastern Ave. Ste. B, Las Vegas, NV 89119 | 2020-08-19 |
| 1720697980 | Christian Scott | Social Worker | 4055 Spencer St #118, Las Vegas, NV 89119 | 2020-07-23 |
| 1245867159 | Starfruit Holdings, LLC | Skilled Nursing Facility | 4375 S Eastern Ave, Paradise, NV 89119 | 2020-03-23 |
| 1215562376 | Phyllis Eberechukwu Hunt | Adult Companion | 5160 Tamarus St Appt 17, Las Vegas, NV 89119 | 2020-03-10 |
| 1841832581 | Legna Carrillo | Adult Companion | 4325 South Bruce St Appt 63, Las Vegas, NV 89119 | 2019-10-15 |
| 1104468339 | Alma Leticia Salazar | Home Health Aide | Safe At Home, LLC, 1775 E. Tropicana Ave. Suit 16-b, Las Vegas, NV 89119 | 2019-10-09 |
| 1083260046 | Araceli Rosas Vargas | Technician | 5160 S. Eastern Ave, Suite E, Las Vegas, NV 89119 | 2019-08-15 |
| 1376197707 | Bristure Clayton | Technician | Safe At Home LLC, 1775 E Tropicana Ave Ste 16, Las Vegas, NV 89119 | 2019-07-24 |
| 1457904534 | Carmen Laura Gonzalez Valenzuela | Chore Provider | 6725-1 S. Eastern Ave, Las Vegas, NV 89119 | 2019-07-18 |
| Find all providers in zip 89119 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) 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 |
|---|---|---|---|---|
| 1396357414 | Melanie Marsh | Physical Therapy Assistant | 5015 Pearlite Ave, Las Vegas, NV 89120-1573 | 2020-08-19 |
| 1124598032 | Rainier Navarro | Physical Therapy Assistant | 3050 E Bonanza Rd Ste 110b, Las Vegas, NV 89101-3706 | 2018-12-04 |
| 1003386533 | Damon Elliott | Physical Therapy Assistant | 9906 Gray Sea Eagle Ave, Las Vegas, NV 89117-8426 | 2018-11-27 |
| 1396224952 | Robin Hargett | Physical Therapy Assistant | 6617 Sunset Pines St, Las Vegas, NV 89148-4251 | 2018-08-13 |
| 1730676289 | Alexander Stroynov | Physical Therapy Assistant | 7291 Deerfield Cir, Las Vegas, NV 89147-4548 | 2018-04-19 |
| 1083122188 | Arlene P Abell | Physical Therapy Assistant | 7440 W Cheyenne Ave Ste 104, Las Vegas, NV 89129-7434 | 2018-01-11 |
| 1447764071 | Robyn Reyes | Physical Therapy Assistant | 9050 W Cheyenne Ave, Las Vegas, NV 89129-8932 | 2017-11-17 |
| 1124546023 | Austin M Okeeffe | Physical Therapy Assistant | 1945 E Warm Springs Rd # 300, Las Vegas, NV 89119-4583 | 2017-08-31 |
| 1548703010 | Stephen Dallas | Physical Therapy Assistant | 357 Lakewood Garden Dr, Las Vegas, NV 89148-2737 | 2016-11-30 |
| 1346796794 | Selica Dingson | Physical Therapy Assistant | 715 Sole Addiction Ave, Las Vegas, NV 89183-7222 | 2016-08-26 |
| Find all providers in LAS VEGAS | ||||
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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.