MRS. ALISSA HONGHIRAN JACKSON (NPI# 1871613604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871613604 |
| Entity Type | Individual |
| Full Name | MRS. ALISSA HONGHIRAN JACKSON |
| Credential | PT |
| Practice Address |
32 Reynard Estates Drive Little Rock AR 72210 |
| Practice Telephone | 5016646630 |
| Practice Fax Number | 5016646630 |
| Mailing Telephone | 5016646630 |
| Mailing Fax Number | 5016646630 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-09-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251C2600X |
Physical Therapist Specialization: Cardiopulmonary |
PT2618 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215589908 | Alissa Michon Jackson | Physical Therapist | 820 John St Ste 201, Kalamazoo, MI 49001-2860 | 2019-07-12 |
| Street Address |
32 REYNARD ESTATES DRIVE |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720143522 | Barbara Metzger | Physical Therapist | 32 Reynard Estates Drive, Little Rock, AR 72210 | 2006-12-22 |
| 1427273564 | Teresa Ann Prewett | Physical Therapist | 32 Reynard Estates Drive, Little Rock, AR 72210 | 2007-04-16 |
| 1437278264 | Prewett Physical Therapy Inc | Physical Therapist | 32 Reynard Estates Drive, Little Rock, AR 72210 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487290888 | John Hunter Bramlitt | Counselor | 12320 I-30, Little Rock, AR 72210 | 2019-11-20 |
| 1972159267 | Arkansas Baptist Children's Homes and Family Ministries | Counselor | 12400 I-30, Little Rock, AR 72210 | 2019-08-13 |
| 1952956864 | Hanrietta Evans | Behavior Technician | Youth Home Inc, 20302 Colonel Glenn Rd, Little Rock, AR 72210 | 2019-08-07 |
| 1821597287 | Deanna Smith | Counselor | 12320 I-30 Frontage Road, Little Rock, AR 72210 | 2018-02-12 |
| 1922485481 | Whitney Brown | Social Worker | 20400 Colonel Glenn, Little Rock, AR 72210 | 2015-05-04 |
| 1679978191 | Jennifer Black | Counselor | 20302 Col Glenn Road, Little Rock, AR 72210 | 2014-10-27 |
| 1831593896 | James William Takach | Family Medicine | 14519 Wimbledon Loop, Little Rock, AR 72210 | 2014-10-20 |
| 1811319734 | Ben Malone | Case Manager/Care Coordinator | 20400 Col Glenn Road, Little Rock, AR 72210 | 2014-01-12 |
| 1487924296 | Tara Brown | Case Manager/Care Coordinator | 20302 Colonel Glenn Rd., Little Rock, AR 72210 | 2012-01-10 |
| 1972889061 | D. Rachelle Rial | Case Manager/Care Coordinator | 20400 Col Glenn Rd., Little Rock, AR 72210 | 2011-11-02 |
| Find all providers in zip 72210 | ||||
| Taxonomy Code | 2251C2600X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Cardiopulmonary |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164684080 | Little Rock Physical Medicine and Rehablitation | Physical Therapist | 11400a Huron Ln, Little Rock, AR 72211-1847 | 2008-07-01 |
| City | LITTLE ROCK |
| Zip Code | 72210 |
Please comment or provide details below to improve the information on MRS. ALISSA HONGHIRAN JACKSON.
| 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.