SHANE LORAN JACKSON (NPI# 1548567571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548567571 |
| Entity Type | Individual |
| Full Name | SHANE LORAN JACKSON |
| Credential | DPT |
| Practice Address |
2844 Summit St Ste 106 Oakland CA 94609-3641 |
| Practice Telephone | 5107884535 |
| Mailing Telephone | 5107884535 |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2016-02-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 23897 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922173897 | Shane Michell Jackson | Counselor | 115 W Tyler St, Gilmer, TX 75644-2239 | 2006-11-22 |
| Street Address |
2844 SUMMIT ST STE 106 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609-3641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962490029 | Michael P Lin | Dentist | 2844 Summit St, Ste 207, Oakland, CA 94609-3637 | 2005-10-12 |
| 1285004697 | Zahid H. Ahmed D.d.s. Inc | Dentist | 2844 Summit St, Suite 206, Oakland, CA 94609-3637 | 2015-09-28 |
| 1255700555 | Action Jackson Physical Therapy, P.C. | Physical Therapist | 2844 Summit St, Suite 106, Oakland, CA 94609-3637 | 2015-09-17 |
| 1528231347 | Juon-kin K. Fong, M.d., Inc | Clinic/Center | 2844 Summit St, Suite 103, Oakland, CA 94609-3637 | 2008-04-12 |
| 1821209271 | Barbara Yuh | Pharmacy | 2844 Summit St, Oakland, CA 94609-3637 | 2007-05-25 |
| 1811011562 | Senior Support Services, Inc. | Specialist | 2844 Summit St, 212, Oakland, CA 94609-3637 | 2007-03-19 |
| 1609927102 | Juon-kin K. Fong | Orthopaedic Surgery | 2844 Summit St, Suite 103, Oakland, CA 94609-3637 | 2007-01-13 |
| 1184789869 | Ronald Eugene Bullard | Dentist | 2844 Summit St, #205, Oakland, CA 94609-3637 | 2006-12-24 |
| 1396803367 | Justin Tuat Vo | Chiropractor | 2844 Summit St, Suite 203, Oakland, CA 94609-3637 | 2006-12-04 |
| 1639265051 | George Martin Martinez | Family Medicine | 2844 Summit St, Ste 106, Oakland, CA 94609-3641 | 2006-10-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
| 1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
| 1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
| 1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
| 1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
| 1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
| 1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
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| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) 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 |
|---|---|---|---|---|
| 1255931382 | Ansel Bjorn Schmidt | Physical Therapist | 4500 Gilbert St, Oakland, CA 94611-4657 | 2020-10-28 |
| 1407467954 | Ada Kan | Physical Therapist | 3530 Fruitvale Ave, Oakland, CA 94602-2327 | 2020-08-10 |
| 1831707520 | Caren Hamilton | Physical Therapist | 277 Park View Ter Apt 8, Oakland, CA 94610-4540 | 2020-07-19 |
| 1841813904 | Anisha Patel | Physical Therapist | 260 Perkins St Apt 1e, Oakland, CA 94610-3376 | 2020-05-24 |
| 1073167979 | Stephanie Hines | Physical Therapist | 350 Hawthorne Ave Fl 2, Oakland, CA 94609-3108 | 2019-07-29 |
| 1528622271 | Manpreet Kaur | Physical Therapist | 350 Frank H Ogawa Plz Ste 300, Oakland, CA 94612-2036 | 2019-04-29 |
| 1023672292 | Erica Vincent | Physical Therapist | 675 Upper Dixie Hwy, Oakland, KY 42159-6817 | 2019-04-23 |
| 1184115594 | Mikhail Drizik | Physical Therapist | 21 Ironwood, Oakland, CA 94605-4608 | 2018-05-21 |
| 1174022925 | Sophia Wah Fong | Physical Therapist | 3948 35th Ave, Oakland, CA 94619-1435 | 2018-02-07 |
| 1154838019 | Mei Leng Leong | Physical Therapist | 5687 Miles Ave, Oakland, CA 94618-1267 | 2018-01-01 |
| Find all providers in OAKLAND | ||||
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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.