SANDRA RENEE JACKSON (NPI# 1740425735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740425735 |
| Entity Type | Individual |
| Full Name | SANDRA RENEE JACKSON |
| Credential | PT, DPT, CHT |
| Practice Address |
4476 Winding Creek Rd Manlius NY 13104-2482 |
| Mailing Address |
4476 Winding Creek Rd Manlius NY 13104-8342 |
| Practice Telephone | 3156828341 |
| Mailing Telephone | 3156828341 |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2015-02-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 025060 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316408792 | Sandra Rae Jackson | Occupational Therapy Assistant | 6308 Parkwood Pl, Amarillo, TX 79119-5003 | 2019-03-27 |
| 1124449053 | Sandra J Jackson | Counselor | 4218 Western Ave., South Bend, IN 46619 | 2013-12-19 |
| 1710230917 | Sandra Evans Jackson | Counselor | 1035 Director Ct, Suite C, Greenville, NC 27858-5996 | 2012-10-25 |
| 1407170665 | Sandra Marie Jackson | Marriage & Family Therapist | 6809 Indiana Ave Ste B8, Riverside, CA 92506 | 2010-03-17 |
| 1619118288 | Sandra Denise Jackson | Durable Medical Equipment & Medical Supplies | 4303 Herridge St, Houston, TX 77022-3944 | 2009-03-11 |
| 1255535860 | Sandra Denise Jackson | Licensed Vocational Nurse | 708 Bond St, Copperas Cove, TX 76522-3079 | 2007-06-14 |
| 1316089840 | Sandra Gordon Jackson | Social Worker | 2121 Sage Rd Ste 180, Houston, TX 77056-4326 | 2007-02-12 |
| 1326195959 | Sandra Jackson | Social Worker | 2750 N Lakeview Dr, Warsaw, IN 46582-8408 | 2007-01-04 |
| 1366459778 | Sandra G. Jackson | Counselor | 1900 E. Tenth Street, Alamogordo, NM 88310 | 2006-08-01 |
| 1396717286 | Sandra F Jackson | Nurse Practitioner | 23 W 37th St, Wilmington, DE 19802-2225 | 2006-02-03 |
| Street Address |
4476 WINDING CREEK RD |
| City | MANLIUS |
| State | NY |
| Zip Code | 13104-2482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790334423 | Cindy Gleason | Technician | 8450 Number 2 Rd East, Manlius, NY 13104 | 2019-09-05 |
| 1275009995 | Tristan Karel Martin | Marriage & Family Therapist | 4500 Pewter Lane, 8&9, Manlius, NY 13104 | 2018-10-20 |
| 1184141715 | Walgreen Co | Pharmacy | 315 Fayette St Ste 3, Manlius, NY 13104 | 2017-08-24 |
| 1518233386 | Edward Theodore Schroeder | Internal Medicine | 8345 Vassar Drive, Manlius, NY 13104 | 2012-03-27 |
| 1790052017 | Megan Lynn Perioli | Counselor | 8219 Market Pl Bldg 10, Manlius, NY 13104 | 2011-12-01 |
| 1194979088 | Erin Elizabeth Kolceski | Speech-Language Pathologist | 8141 Old Sunridge Dr, Manlius, NY 13104 | 2008-11-05 |
| 1700037314 | Peter H Emery Jr. | Pharmacist | 3215 Pompey Center Road, Manlius, NY 13104 | 2008-10-02 |
| 1093987216 | Jason David Henderson | Dentist | 8179 Cazenovia Rd., Manlius, NY 13104 | 2008-03-27 |
| 1154517019 | Cynthia E Cavanaugh | Registered Nurse | 2968 Gulf Rd, Manlius, NY 13104 | 2007-09-24 |
| 1487853537 | Harold Jason Rodman | Dentist | 28 Lincklaen St, Cazenovia, NY 13104 | 2007-07-17 |
| Find all providers in zip 13104 | ||||
| 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 |
|---|---|---|---|---|
| 1285187138 | Susan Marie Demas | Physical Therapist | 8427 Woodbox Rd, Manlius, NY 13104-9416 | 2016-07-27 |
| 1902154289 | Drew David Nelson | Physical Therapist | 140 W Seneca St, Manlius, NY 13104-2420 | 2012-08-17 |
| 1770864811 | Wendy A Baldwin Kieb | Physical Therapist | 240 W Seneca St Ste 8, Manlius, NY 13104-2451 | 2011-09-02 |
| 1801957410 | Michael P Mcgee | Physical Therapist | 240 W Seneca St, Suite8, Manlius, NY 13104-3401 | 2006-12-13 |
| 1790757730 | Tiffany Bottar | Physical Therapist | 240 West Seneca Street, Suite 8, Manlius, NY 13104 | 2006-02-03 |
| 1598075731 | Patricia M Muller | Physical Therapist | 8199 E Seneca Tpke, Manlius, NY 13104-2101 | 2010-10-20 |
| 1295822005 | Wayne W. Rath | Physical Therapist | 115 Fairgrounds Drive, Suite 2, Manlius, NY 13104 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689425 | Maitry Damanwala | Physical Therapist | 774 Manor Rd Ste 210, Staten Island, NY 10314-7000 | 2020-11-08 |
| 1760083687 | Charles J Saxe | Physical Therapist | 338 Route 212 Ste 3, Saugerties, NY 12477-5110 | 2020-11-06 |
| 1396346441 | Joseph M Angello | Physical Therapist | 205 Crystal Creek Dr, Rochester, NY 14612-6002 | 2020-11-05 |
| 1093316242 | Steinway Physical Therapy | Physical Therapist | 2549 Steinway St, Astoria, NY 11103-4991 | 2020-11-04 |
| 1255932760 | Carley Ann-marie Johnston | Physical Therapist | 7309 Seneca Rd N Ste 108, Hornell, NY 14843-9691 | 2020-11-03 |
| 1952902330 | Ellory Marie Roberts | Physical Therapist | 3065 Southwestern Blvd Ste. 108, Orchard Park Progressive Physical Therapy At Parkland P, Orchard Park, NY 14127 | 2020-11-03 |
| 1528669173 | Greenland Physical Therapy PC | Physical Therapist | 769 58th St Ste 1, Brooklyn, NY 11220-5180 | 2020-11-02 |
| 1891396321 | Victoria Lucile Schreiner | Physical Therapist | 10614 Versailles Plank Rd, North Collins, NY 14111-9764 | 2020-11-02 |
| 1700486362 | Hamdi Darouich | Physical Therapist | 180 Greenleaf Ave, Staten Island, NY 10310-2640 | 2020-10-31 |
| 1013517788 | Nathaniel Mark Mailloux | Physical Therapist | 65 Belmont Ave, West Babylon, NY 11704-6435 | 2020-10-30 |
| 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.