Jackson Physical Therapy - Medicare Physical Therapist in Las Vegas, NV

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Jackson Physical Therapy is a medicare enrolled "Physical Therapist" provider in Las Vegas, Nevada. Their current practice location is 4765 S. Durango Dr., Ste 106, Las Vegas, Nevada. You can reach out to their office (for appointments etc.) via phone at (702) 898-7633.

Jackson Physical Therapy is licensed to practice in Nevada (license number 1365) and it also participates in the medicare program. Jackson Physical Therapy is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1487682076.

Contact Information

Jackson Physical Therapy
4765 S. Durango Dr., Ste 106,
Las Vegas, NV 89147
(702) 898-7633
(702) 898-6433

Map and Direction




Healthcare Provider's Profile

Full NameJackson Physical Therapy
TypeFacility
SpecialityPhysical Therapist
Location4765 S. Durango Dr., Las Vegas, Nevada
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487682076
  • Provider Enumeration Date: 06/30/2006
  • Last Update Date: 03/22/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2961480363
  • Enrollment ID: O20040712001093

Medical Identifiers

Medical identifiers for Jackson Physical Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487682076NPI-NPPES
100506016MedicaidNV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 1365 (Nevada)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Jackson Physical Therapy acts as a billing entity for following providers:
Provider NameJoel D Lapka
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1811913007
PECOS PAC ID: 2961409438
Enrollment ID: I20061025000399
Provider NameBrandon L Jackson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1952340671
PECOS PAC ID: 7719993195
Enrollment ID: I20120208000094
Provider NameLawrence Flisser
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1447582325
PECOS PAC ID: 1456245687
Enrollment ID: I20150921001268
Provider NameHeather Fox
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1609361914
PECOS PAC ID: 6507116761
Enrollment ID: I20180910000668
Provider NameJon Alex Cruz Cantal
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1437783263
PECOS PAC ID: 9335577899
Enrollment ID: I20200316001000
Provider NameShivangi M Bavishi
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1790314011
PECOS PAC ID: 3577993013
Enrollment ID: I20200423001606
Provider NamePatrick Wagner
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1316562150
PECOS PAC ID: 8921420720
Enrollment ID: I20200624002387
Provider NameChristopher Massa
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1740658285
PECOS PAC ID: 3678864477
Enrollment ID: I20211025002899
Provider NameAlfredo C Mendoza
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1932876919
PECOS PAC ID: 5496148918
Enrollment ID: I20220204002199
Provider NameVincent De Luna
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1154649309
PECOS PAC ID: 7719362342
Enrollment ID: I20220919002395

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jackson Physical Therapy is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jackson Physical Therapy
4765 S. Durango Dr., Ste 106,
Las Vegas, NV 89147

Ph: (702) 898-7633		Jackson Physical Therapy
4765 S. Durango Dr., Ste 106,
Las Vegas, NV 89147

Ph: (702) 898-7633

Reviews and Comments


Physical Therapist in Las Vegas, NV

Athleticare
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Phone: 702-263-3802    Fax: 702-270-7740
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Practice Location: 2650 N Tenaya Way, Suite 180, Las Vegas, NV 89128
Phone: 702-240-2952    
Mr. Gladstone George, PT
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Medicare: Not Enrolled in Medicare
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Phone: 702-735-5848    Fax: 702-735-6218
Ati Physical Therapy
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Medicare: Not Enrolled in Medicare
Practice Location: 6830 W Oquendo Rd, Suite 101, Las Vegas, NV 89118
Phone: 702-258-3066    
Chanha Hwang, DPT
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Medicare: Not Enrolled in Medicare
Practice Location: 8174 Las Vegas Blvd S Ste 109-150, Las Vegas, NV 89123
Phone: 702-883-9528    Fax: 702-852-5715

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.