| Claire Emma Jackson, | |
|
325 Charles H Dimmock Pkwy Ste 100, Colonial Heights, VA 23834-2986 | |
| (804) 526-5888 | |
| (804) 526-5401 |
| Full Name | Claire Emma Jackson |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 325 Charles H Dimmock Pkwy Ste 100, Colonial Heights, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992161921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2305209896 (Virginia) | Secondary |
| 225100000X | Physical Therapist | PT015445 (Ohio) | Primary |
| Provider Name | Fox Rehabilitation Services Oh, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1265968481 PECOS PAC ID: 1254698350 Enrollment ID: O20171128001417 |
| Mailing Address | Practice Location Address |
|---|---|
| Claire Emma Jackson, 13000 Rivers Bend Blvd Ste D, Chester, VA 23836-8632 Ph: (804) 526-5888 | Claire Emma Jackson, 325 Charles H Dimmock Pkwy Ste 100, Colonial Heights, VA 23834-2986 Ph: (804) 526-5888 |
Michelle Candice Crouse, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 325 Charles H Dimmock Pkwy Ste 100, Colonial Heights, VA 23834 Phone: 804-526-5888 Fax: 804-526-5401 | |
William Kyle Richardson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 300b Temple Lake Dr Ste 1, Colonial Heights, VA 23834 Phone: 804-452-4903 | |
Roya Kordi Mirshahi, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 320 Charles Dimmock Parkway, Suite 6, Colonial Heights, VA 23834 Phone: 804-524-0533 Fax: 804-524-0133 | |
Kavita V Patel, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2305 Swift Bluff Dr, Colonial Heights, VA 23834 Phone: 804-536-4412 | |
Zachary J. Muscato, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 300b Temple Lake Dr Ste 1, Colonial Heights, VA 23834 Phone: 804-524-9036 Fax: 804-524-9039 | |
Alicia Blackham Johnson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 300b Temple Lake Dr Ste 1, Colonial Heights, VA 23834 Phone: 804-524-9036 | |
Scott Rotsted, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 430 Claremont Ct, Suite 122, Colonial Heights, VA 23834 Phone: 804-526-6062 Fax: 804-526-9094 |