Cody Jefferson Jacks, DPT | |
2835 Childress Dr, Anderson, CA 96007-3563 | |
(530) 378-0098 | |
Not Available |
Full Name | Cody Jefferson Jacks |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 3 Years |
Location | 2835 Childress Dr, Anderson, California |
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 |
---|---|---|---|
1669148391 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northern Asset Management Inc | 4082617170 | 4 |
Western Physical Therapy Inc | 8022076348 | 21 |
Provider Name | Western Physical Therapy Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1740216332 PECOS PAC ID: 8022076348 Enrollment ID: O20050103000515 |
Provider Name | Northern Asset Management Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1679599161 PECOS PAC ID: 4082617170 Enrollment ID: O20060809000538 |
Mailing Address | Practice Location Address |
---|---|
Cody Jefferson Jacks, DPT 5874 Avery Way, Redding, CA 96003-3095 Ph: (907) 602-2617 | Cody Jefferson Jacks, DPT 2835 Childress Dr, Anderson, CA 96007-3563 Ph: (530) 378-0098 |
Jonathan Koza, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3300 Franklin St, Anderson, CA 96007 Phone: 530-524-7200 | |
Elevate Physical Therapy Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1920 Barney Rd, Anderson, CA 96007 Phone: 530-365-2142 | |
Stephanie Sciarra Smith, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1920 Barney Rd, Anderson, CA 96007 Phone: 530-365-2142 Fax: 530-365-5655 | |
Garret A Gheen, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2835 Childress Dr, Anderson, CA 96007 Phone: 530-378-0998 Fax: 530-378-2072 | |
Hannah Lehua Hamilton, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2835 Childress Dr, Anderson, CA 96007 Phone: 530-378-0998 Fax: 530-378-2072 | |
Kevin Snider Physical Therapy, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1920 Barney Rd, Anderson, CA 96007 Phone: 530-365-2142 Fax: 530-365-5655 |