Mr James John Jackson, MS,OTR,CHT | |
9415 Sunset Dr, Ste 111, Miami, FL 33173-5427 | |
(786) 507-8278 | |
(813) 265-2504 |
Full Name | Mr James John Jackson |
---|---|
Gender | Male |
Speciality | Occupational Therapy |
Experience | 46 Years |
Location | 9415 Sunset Dr, Miami, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346337615 | NPI | - | NPPES |
OT 632 | Other | FL | OT LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT 632 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Optimal Performance And Physical Therapies Kendall Llc | 4981842192 | 12 |
Provider Name | Optimal Performance And Physical Therapies Kendall Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1922350289 PECOS PAC ID: 4981842192 Enrollment ID: O20130530000094 |
Mailing Address | Practice Location Address |
---|---|
Mr James John Jackson, MS,OTR,CHT 3903 Northdale Blvd, Ste 111w, Tampa, FL 33624-1864 Ph: (813) 418-7350 | Mr James John Jackson, MS,OTR,CHT 9415 Sunset Dr, Ste 111, Miami, FL 33173-5427 Ph: (786) 507-8278 |
David Calvo, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12721 Sw 209th St, Miami, FL 33177 Phone: 352-871-8020 | |
Amanda Tristan, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1101 Sw 122nd Ave Apt 113, Miami, FL 33184 Phone: 786-281-7702 | |
Anju Pulick, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12499 Sw 123rd Pl, Miami, FL 33186 Phone: 305-281-4168 | |
Tricia Furie, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3860 Sw 137th Ave, Miami, FL 33175 Phone: 305-385-0168 | |
Liz Paola Ojeda Martinez, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7762 N Kendall Dr, Miami, FL 33156 Phone: 305-598-0229 | |
Daniela Gonzalez, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12750 Sw 128th St Ste 208, Miami, FL 33186 Phone: 786-646-0091 | |
Daniella C Portuondo, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 845 Sw 24th Rd, Miami, FL 33129 Phone: 305-788-4693 |