Action Jackson Physical Therapy, P.c. | |
2844 Summit St, Suite 106, Oakland, CA 94609-3637 | |
(510) 763-3005 | |
Not Available |
Full Name | Action Jackson Physical Therapy, P.c. |
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Type | Facility |
Speciality | Physical Therapist |
Location | 2844 Summit St, Oakland, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255700555 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | PT23897 (California) | Primary |
Provider Name | Shane Jackson |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1548567571 PECOS PAC ID: 3072797265 Enrollment ID: I20110413000287 |
Mailing Address | Practice Location Address |
---|---|
Action Jackson Physical Therapy, P.c. 1005 Solano Ave, Apt. A, Albany, CA 94706-1617 Ph: (510) 292-5385 | Action Jackson Physical Therapy, P.c. 2844 Summit St, Suite 106, Oakland, CA 94609-3637 Ph: (510) 763-3005 |
Eric Biglang-awa, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1814 Franklin St, Suite 905, Oakland, CA 94612 Phone: 510-893-7463 | |
Suzanne P Whitcomb, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 275 W Macarthur, Oakland, CA 94611 Phone: 510-752-1000 | |
Mr. Matthew Gabrielson, D.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 275 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-6221 | |
Tammara J Moore, DPT, OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4341 Piedmont Ave Ste 201, Oakland, CA 94611 Phone: 510-547-1630 Fax: 510-923-1944 | |
Miss Denitza V Hristova, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 275 W Macarthur, Oakland, CA 94611 Phone: 510-752-1000 | |
Barbara Chan, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 350 Hawthorne Ave, Oakland, CA 94609 Phone: 510-655-4000 | |
Sports & Orthopedic Leaders Physical Therapy, Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 4341 Piedmont Ave Ste 201, Oakland, CA 94611 Phone: 510-547-1630 |