| Jacob Jackson, | |
|
838 Powdersville Rd Ste T, Easley, SC 29642-3703 | |
| (864) 671-1650 | |
| Not Available |
| Full Name | Jacob Jackson |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 838 Powdersville Rd Ste T, Easley, 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 |
|---|---|---|---|
| 1902661838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Advanced Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1316940505 PECOS PAC ID: 6002959525 Enrollment ID: O20111006000030 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Jackson, 2001 Butterfield Rd Ste 1600, Downers Grove, IL 60515-1211 Ph: (866) 370-8206 | Jacob Jackson, 838 Powdersville Rd Ste T, Easley, SC 29642-3703 Ph: (864) 671-1650 |
Excel Rehabilitation And Sports Enhancement Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1664 E Main St, Easley, SC 29640 Phone: 864-654-2001 | |
Julie K Shipe, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 706 Pelzer Hwy, Easley, SC 29642 Phone: 864-859-0167 Fax: 864-859-2312 | |
Willard Chandler White, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 838 Powdersville Rd Ste T, Easley, SC 29642 Phone: 864-671-1650 Fax: 864-442-2053 | |
Lori Bartenfeld, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 227 S. Pendleton Street, Ste B, Easley, SC 29640 Phone: 864-855-7030 Fax: 864-855-7019 | |
Brady Pediatric Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 350 Hamilton Pkwy, Easley, SC 29642 Phone: 217-713-8333 | |
Physical Therapy Consultants Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 115 Brushy Creek Rd, Easley, SC 29642 Phone: 864-343-2650 | |
Mary Ann Ketterman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 227 S Pendleton St, Suite B, Easley, SC 29640 Phone: 864-855-7030 Fax: 864-855-7019 |