MR. JACOB S JACKSON (NPI# 1982162905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982162905 |
| Entity Type | Individual |
| Full Name | MR. JACOB S JACKSON |
| Credential | DPT |
| Practice Address |
4110 S Water Tower Pl Mount Vernon IL 62864-6544 |
| Practice Telephone | 6182421100 |
| Practice Fax Number | 6182445148 |
| Mailing Telephone | 6182421100 |
| Mailing Fax Number | 6182445148 |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2019-03-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 070024163 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134629405 | Jacob Jackson | Registered Nurse | 1800 W 1st St Ste 105b, Elk City, OK 73644-3133 | 2018-02-13 |
| 1003366329 | Jacob Jerry Jackson | Counselor | 1700 Helmer St, Sioux City, IA 51103-2834 | 2016-10-11 |
| 1568812683 | Jacob Jackson | Community Health Worker | 2615 Cleveland Hwy, Dalton, GA 30721-8160 | 2016-06-20 |
| 1114386620 | Jacob Jackson | Chiropractor | 5801 S Fashion Blvd, Suite 210, Murray, UT 84107-6159 | 2016-02-12 |
| 1861832644 | Jacob Jackson | Surgery | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 | 2013-06-26 |
| 1588907240 | Jacob Cole Jackson | Student in an Organized Health Care Education/Training Program | 525 E 68th St, Box 124, New York, NY 10065-4870 | 2013-04-01 |
| 1831316892 | Jacob Anthony Jackson | Family Medicine | 10800 Magnolia Ave, Family Medicine, Riverside, CA 92505-3043 | 2007-04-19 |
| Street Address |
4110 S WATER TOWER PL |
| City | MOUNT VERNON |
| State | IL |
| Zip Code | 62864-6544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083213730 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 4110 S Water Tower Pl, Mount Vernon, IL 62864-6544 | 2020-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438892 | Melissa Pryer | Dietitian, Registered | 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 | 2019-03-28 |
| 1487145454 | Chiropractic Wellness Center of Mt Vernon, LLC. | Chiropractor | 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 | 2018-05-24 |
| 1851889208 | Kimberly Tate | Counselor | 4110 North Water Place, Mt. Vernon, IL 62864 | 2018-05-01 |
| 1871907790 | University Hematology Oncology Inc | Specialist | #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 | 2014-06-18 |
| 1457771677 | Dynamic Counseling and Consultation Services | Social Worker | 3600 S Water Tower Pl, Mt Vernon, IL 62864 | 2014-04-27 |
| 1619239431 | Judith C Morgan | Counselor | 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-06-08 |
| 1073888624 | James Brian Verges | Counselor | 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-03-15 |
| 1720352271 | Lucinda M. Holdren | Counselor | 16338 North Illinois Highway 37, Mount Vernon, IL 62864 | 2012-03-01 |
| 1780978627 | Jamie M Orange | Physical Therapy Assistant | 19958 Fairfield Rd, Mt. Vernon, IL 62864 | 2011-06-08 |
| 1780978791 | Wendy Marie Claytor | Speech-Language Pathologist | 600 E Il Hwy 15, Mount Vernon, IL 62864 | 2011-06-07 |
| Find all providers in zip 62864 | ||||
| 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 |
|---|---|---|---|---|
| 1912518416 | Zachary Allen Buck | Physical Therapist | 213 Highway 37, Mount Vernon, TX 75457-3106 | 2020-08-10 |
| 1114550241 | Mary Ann Navasquez-salvatore | Physical Therapist | 20 William St Apt 5a, Mount Vernon, NY 10552-2838 | 2020-02-18 |
| 1104476449 | Goal Physical Therapy PC | Physical Therapist | 6 Gramatan Ave Ste 203, Mount Vernon, NY 10550-3209 | 2019-09-18 |
| 1467936781 | David Cagle | Physical Therapist | 111 S 12th St Ste B, Mount Vernon, WA 98274-4000 | 2018-09-21 |
| 1891272597 | Mallory Kirsch | Physical Therapist | 11545 E Radisson Rd, Mount Vernon, IL 62864-6861 | 2018-07-25 |
| 1093210759 | Urban Fitness and Health Club LLC | Physical Therapist | 525 E College Way, Mount Vernon, WA 98273-5571 | 2018-03-26 |
| 1891234381 | Rachel Clinedinst | Physical Therapist | 12601 Vincent Rd, Mount Vernon, OH 43050-8269 | 2017-02-16 |
| 1467998146 | Nina Kristine Ganalon | Physical Therapist | 4300 Valley Forge Rd Apt A, Mount Vernon, IL 62864-6929 | 2017-01-18 |
| 1215483797 | Kadeem Anthony Howell | Physical Therapist | 2 Mersereau Ave, Mount Vernon, NY 10553-1106 | 2016-08-25 |
| 1285090704 | Caleb Doup | Physical Therapist | 781 Fairgrounds Rd Ste A, Mount Vernon, OH 43050-1165 | 2016-01-13 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 62864 |
Please comment or provide details below to improve the information on MR. JACOB S 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.