MS. DIANE O JACKSON-SZYMCZYK (NPI# 1437308483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437308483 |
Entity Type | Individual |
Full Name | MS. DIANE O JACKSON-SZYMCZYK |
Credential | PT |
Practice Address |
2425 Lynbridge Dr Charlotte NC 28270-7774 |
Practice Telephone | 7043644429 |
Mailing Telephone | 7043644429 |
Enumeration Date | 2008-09-15 |
Last Update Date | 2008-09-15 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
1260 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 7211596 | 05 |
Street Address |
2425 LYNBRIDGE DR |
City | CHARLOTTE |
State | NC |
Zip Code | 28270-7774 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265902837 | Gregory David Lineberger Sr. | Counselor | 1811 Sardis Road North Suite 207, Charlotte, NC 28270 | 2018-11-27 |
1174093751 | Lineberger Christian Counseling, Pllc | Clinic/Center | 1811 Sardis Road North, Suite 207, Charlotte, NC 28270 | 2018-11-27 |
1922524818 | Danielle Jean Whittington | Social Worker | 7309 Harrisonwoods Pl, Charlotte, NC 28270 | 2017-08-22 |
1588185508 | Mary Wennen | Social Worker | 801 Lansdowne Road, Charlotte, NC 28270 | 2017-06-29 |
1982089595 | Jessica Davis | Pharmacist | 1021 Morehead Medical Drive, Charlotte, NC 28270 | 2015-07-24 |
1275958399 | Matthews Psychological and Family Services, Pllc | Psychologist | 1811 Sardis Road North, Suite 207, Charlotte, NC 28270 | 2014-02-26 |
1467886978 | G Abrams R Cohen Vii PC | Dentist | 1605 Galleria Blvd., Suite 110, Charlotte, NC 28270 | 2013-09-03 |
1093148041 | Shari Howie | Lactation Consultant, Non-RN | 4400 Bellwood Lane, Charlotte, NC 28270 | 2013-08-14 |
1225477052 | L Richardson Home | Psychiatric Residential Treatment Facility | 9828 Addison Gray Lane, Charlotte, NC 28270 | 2013-06-14 |
1619287083 | Linda Virginia Stewart | Social Worker | 9314 Valley Road, Charlotte, NC 28270 | 2010-10-19 |
Find all providers in zip 28270 |
Taxonomy Code | 2251P0200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316401862 | Shine Therapy LLC | Physical Therapist | 1140 Turnbridge Rd, Charlotte, NC 28226-5862 | 2019-01-29 |
1275048514 | Hpfs Therapy | Physical Therapist | 8133 Ardrey Kell Rd Ste 104, Charlotte, NC 28277-5723 | 2017-12-08 |
1487179578 | Hannah E Josephson | Physical Therapist | 9129 Monroe Rd Ste 100, Charlotte, NC 28270-2454 | 2017-08-09 |
1821464728 | Rebecca Chain | Physical Therapist | 1930 Thurmond Pl, Charlotte, NC 28205-3039 | 2015-08-13 |
1013317015 | Tamara J Heath | Physical Therapist | 7519 Bedfordshire Dr, Charlotte, NC 28226-7519 | 2014-08-26 |
1669805610 | Carla Elizabeth Scott | Physical Therapist | 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 | 2013-08-14 |
1629413836 | Catie Broecker | Physical Therapist | 2506 Cranbrook Ln, Unit 5, Charlotte, NC 28207-2036 | 2013-05-01 |
1225321151 | Deborah L. Miller | Physical Therapist | 8400 Strawberry Ln, Charlotte, NC 28277-4544 | 2011-05-25 |
1972809903 | Carolina Access Support & Enrichment Services Inc | Physical Therapist | 5108 Reagan Dr, Suite 10, Charlotte, NC 28206-3103 | 2011-02-09 |
1255512497 | Angela Balzotti Regner | Physical Therapist | 4732 Cottage Oaks Dr, Charlotte, NC 28269-1456 | 2007-11-15 |
Find all providers in CHARLOTTE |
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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.