| Carolyn E Jackson, | |
|
11 Barkingham Ln Ste C, Greenville, SC 29607-5905 | |
| (864) 881-1712 | |
| (864) 435-9923 |
| Full Name | Carolyn E Jackson |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 11 Barkingham Ln Ste C, Greenville, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750779187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 15382 (North Carolina) | Secondary |
| 225100000X | Physical Therapist | 8118 (South Carolina) | Primary |
| Provider Name | Greenville Proaxis Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1669457859 PECOS PAC ID: 0244267771 Enrollment ID: O20050726000769 |
| Provider Name | Purposed Physical Therapy, Llc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1396231551 PECOS PAC ID: 7911233457 Enrollment ID: O20190722003262 |
| Mailing Address | Practice Location Address |
|---|---|
| Carolyn E Jackson, 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (630) 296-2223 | Carolyn E Jackson, 11 Barkingham Ln Ste C, Greenville, SC 29607-5905 Ph: (864) 881-1712 |
Caitlyn Esther Soltes, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 29 N Academy St, Greenville, SC 29601 Phone: 864-331-1344 Fax: 864-331-1446 | |
Stephen Craig Miller, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2 Doctors Dr, Greenville, SC 29605 Phone: 864-797-7320 | |
Charlotte Bocchino, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Patewood Dr, Ste C150, Greenville, SC 29615 Phone: 864-454-0904 | |
Madalyn Patricia Cregg, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 200 Patewood Dr Ste C150, Greenville, SC 29615 Phone: 864-454-0904 | |
Emily Mae Harrison, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1322 E Washington St Ste B1, Greenville, SC 29607 Phone: 642-729-4081 | |
Katerine Maria Gonzalez Gonzalez, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1904 Roper Mountain Rd, Greenville, SC 29615 Phone: 864-609-4006 | |
Sara Elizabeth Martin, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 103 N Main St, Ste 99, Greenville, SC 29601 Phone: 864-528-5728 |