| Jacob Lane Jackson, PT, DPT | |
|
401 N College Rd Ste 1b, Lafayette, LA 70506-4263 | |
| (337) 993-2766 | |
| Not Available |
| Full Name | Jacob Lane Jackson |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 401 N College Rd Ste 1b, Lafayette, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215777826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 11757 (Louisiana) | Primary |
| Provider Name | Elite Therapy Solutions, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1902177678 PECOS PAC ID: 8921383688 Enrollment ID: O20170320001031 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Lane Jackson, PT, DPT 983a E Lancaster Ave, Downingtown, PA 19335-3184 Ph: (337) 993-2766 | Jacob Lane Jackson, PT, DPT 401 N College Rd Ste 1b, Lafayette, LA 70506-4263 Ph: (337) 993-2766 |
Peyton Matherne, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 233 Doucet Rd Ste B2, Lafayette, LA 70503 Phone: 337-991-9972 Fax: 337-991-9974 | |
The Specialist Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1206 E Broussard Rd Ste 100, Lafayette, LA 70508 Phone: 337-450-9111 Fax: 337-484-3164 | |
Ms. Alexandra Florian, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2448 Johnston St, Lafayette, LA 70503 Phone: 337-261-5151 | |
Prof. Renee Trahan Lane, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1398 E Bayou Pkwy Apt C, Lafayette, LA 70508 Phone: 337-280-7907 Fax: 337-993-7445 | |
Celia Marie Thibodeaux, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2390 W Congress St, Lafayette, LA 70506 Phone: 337-261-6700 Fax: 337-261-6660 | |
Rehab Solutions Of Louisiana Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 353 Doucet Rd, A-2, Lafayette, LA 70503 Phone: 337-216-7758 Fax: 337-216-7787 | |
Tayler Mckay Sonnier, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Leon Dr, Lafayette, LA 70503 Phone: 337-521-7830 |