Dr Elise Laura Jackson, DPT | |
51 Water St # 205, Watertown, MA 02472-4611 | |
(617) 744-8300 | |
(617) 744-6218 |
Full Name | Dr Elise Laura Jackson |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 51 Water St # 205, Watertown, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023533973 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 23221 (Massachusetts) | Primary |
Provider Name | Massachusetts Luna Care Physical Therapy Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1427713742 PECOS PAC ID: 8628468998 Enrollment ID: O20211130001099 |
Mailing Address | Practice Location Address |
---|---|
Dr Elise Laura Jackson, DPT 47 Mason St # 2, Somerville, MA 02144-1607 Ph: (978) 895-6475 | Dr Elise Laura Jackson, DPT 51 Water St # 205, Watertown, MA 02472-4611 Ph: (617) 744-8300 |
Andrea B O'brien, PT, MS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16 Fitchburg St, Watertown, MA 02472 Phone: 617-957-7332 | |
Luann M Fitzgerald, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 135 N Beacon St, Watertown, MA 02472 Phone: 617-926-8720 Fax: 617-926-8920 | |
Lee A Haggerty, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 36 Arlington St, Watertown, MA 02472 Phone: 617-926-2300 Fax: 617-242-7074 | |
Kelsey Qualey, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 63 Pleasant St, Watertown, MA 02472 Phone: 617-303-0110 | |
Mallory Cottam, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 51 Water St, Watertown, MA 02472 Phone: 617-744-8300 | |
Cheryl E Ehrenkranz, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 521 Mount Auburn St, Suite 205, Watertown, MA 02472 Phone: 617-923-0757 Fax: 617-923-2127 |