DR. BRYAN W JACKSON (NPI# 1649288317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649288317 |
| Entity Type | Individual |
| Full Name | DR. BRYAN W JACKSON |
| Credential | D.C., P.T. |
| Practice Address |
410 Saybrook Rd Ste 100 Middletown CT 06457 |
| Mailing Address |
410 Saybrook Rd Ste 100 Middletown CT 06457-4780 |
| Practice Telephone | 8606383820 |
| Practice Fax Number | 8606383840 |
| Mailing Telephone | 8606383820 |
| Mailing Fax Number | 8606383840 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2019-05-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 3372 | NC | Chiropractic Providers |
| Y | 225100000X | Physical Therapist | 005803 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225100000X | Physical Therapist | 9924 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5215 South Blvd Ste A, Charlotte, NC 282172771 | 7045256288 | 7045256384 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942351671 | Bryan Edward Jackson | Counselor | 1001 Potrero Ave, San Francisco, CA 94110-3518 | 2007-01-16 |
| 1699749903 | Bryan Scott Jackson | Surgery | 1325 Eastmoreland Ave, Suite 410, Memphis, TN 38104-3519 | 2006-02-14 |
| Street Address |
410 SAYBROOK RD STE 100 |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932677879 | Abigail Haddad | Physician Assistant | 410 Saybrook Rd Ste 100, Middletown, CT 06457-4780 | 2018-11-08 |
| 1033525407 | Robert Giordano | Physician Assistant | 410 Saybrook Rd Ste 100, Middletown, CT 06457-4780 | 2014-07-07 |
| 1366854499 | Stephanie Schmidt | Family Medicine | 410 Saybrook Rd Ste 100, Middletown, CT 06457 | 2014-05-23 |
| 1528402963 | Amy Sarah Wasterlain | Orthopaedic Surgery | 410 Saybrook Rd Ste 100, Middletown, CT 06457-4780 | 2013-04-27 |
| 1407101819 | Justine Lauren Vanacore | Physician Assistant | 410 Saybrook Rd Ste 100, Middletown, CT 06457-4780 | 2012-07-23 |
| 1205006822 | Matthew R Fernandez | Physician Assistant | 410 Saybrook Rd Ste 100, Middletown, CT 06457-4780 | 2008-03-11 |
| 1053455337 | Maria I Moreno | Physical Therapist | 410 Saybrook Rd Ste 100, Middletown, CT 06457-4780 | 2007-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391961 | Meghan Harrington | Behavior Technician | 101 Centerpoint Drive #243, Middletown, CT 06457 | 2020-06-22 |
| 1427619626 | Collaborative Aba Services, LLC | Behavioral Analyst | 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 | 2019-06-27 |
| 1376100339 | Kimberly Tynik | Pharmacist | 451 Fowler Ave, Middletown, CT 06457 | 2019-05-24 |
| 1184101263 | Tabrez Adil | Dentist | 675 Main St., Middletown, CT 06457 | 2018-07-23 |
| 1326535337 | Rehan Khan | Non-emergency Medical Transport (VAN) | 765 Country Club Rd, Middletown, CT 06457 | 2018-04-16 |
| 1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
| 1902324536 | Cynthia Tine | Physical Therapy Assistant | 628 Congdon Street, Middletown, CT 06457 | 2017-09-04 |
| 1619494390 | Nathan Douglas Roy | Specialist/Technologist | 431 Briarwood Lane, Middletown, CT 06457 | 2017-08-24 |
| 1598286502 | Rachel Hoffman Whelen | Registered Nurse | 420 Saybrook Road, Suite A, Middletown, CT 06457 | 2017-06-29 |
| 1003358326 | Rebecca Rotondo | Social Worker | 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 | 2016-11-17 |
| Find all providers in zip 06457 | ||||
| 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 |
|---|---|---|---|---|
| 1912505025 | Michelle Mikesell | Physical Therapist | 8699 S Pacific Ct, Middletown, MD 21769-8535 | 2020-10-12 |
| 1013529189 | Jeffrey Lo | Physical Therapist | 214 Harmony Rd, Middletown, NJ 07748-1744 | 2020-08-20 |
| 1073158234 | Ashley Mariano | Physical Therapist | 124 Bakerfield Dr, Middletown, DE 19709-9452 | 2019-11-12 |
| 1760026629 | Physical Therapy Wellness, Pllc | Physical Therapist | 201 Dolson Ave Ste H, Middletown, NY 10940-6576 | 2019-11-04 |
| 1225686264 | Shradha Rana | Physical Therapist | 134 Main Street Ext Ste 100, Middletown, CT 06457-3813 | 2019-09-03 |
| 1295397073 | Joint Physical Therapy and Sports Medicine LLC | Physical Therapist | 40 Old Country Rd, Middletown, NJ 07748-1721 | 2019-07-02 |
| 1619466307 | Milliam Physical Therapy Services LLC | Physical Therapist | 42 Rykowski Ln Ste 2, Middletown, NY 10941-4018 | 2018-05-08 |
| 1033611892 | Rhode Island Limb Co Inc | Physical Therapist | 26 Valley Rd Ste 101, Middletown, RI 02842-6371 | 2018-03-07 |
| 1275031114 | Nicole Brody Gomes | Physical Therapist | 210 Cleaver Farms Rd, Ste 1, Middletown, DE 19709 | 2018-01-25 |
| 1972012383 | Raymond Robert Solinger | Physical Therapist | 210 Cleaver Farms Rd Ste 1, Middletown, DE 19709 | 2017-09-28 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 06457 |
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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.