Javier Jackson, | |
2781 Airways Blvd, Memphis, TN 38132-1104 | |
(901) 291-1100 | |
Not Available |
Full Name | Javier Jackson |
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Gender | Male |
Speciality | Physical Therapist |
Location | 2781 Airways Blvd, Memphis, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801380985 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT0000010916 (Tennessee) | Primary |
Provider Name | Leader Physical Therapy Limited Partnership |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1528830064 PECOS PAC ID: 2163487737 Enrollment ID: O20161130001678 |
Mailing Address | Practice Location Address |
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Javier Jackson, 3421 Cloudland Dr, Memphis, TN 38118-8125 Ph: () - | Javier Jackson, 2781 Airways Blvd, Memphis, TN 38132-1104 Ph: (901) 291-1100 |
Rodney Nash, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1859 Harbert Ave, Memphis, TN 38104 Phone: 901-275-0352 | |
Mrs. Bridget Anne Lowes, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3960 New Covington Pike, Memphis, TN 38128 Phone: 901-516-5320 Fax: 901-516-5099 | |
Austin Lawrence Orr, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6286 Briarcrest Ave Ste 110, Memphis, TN 38120 Phone: 901-259-1600 Fax: 901-259-1698 | |
Thomas Peyton Walsh, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 80 S Prescott St, Memphis, TN 38111 Phone: 901-257-3422 Fax: 901-257-3423 | |
Jennifer Holbourn, PT MOMT FAAOMT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 612 S Cooper St, Memphis, TN 38104 Phone: 901-272-2822 Fax: 901-272-2823 | |
Jeremy Lynn Bradford, P.T. Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 794 S Cooper St Ste 102, Memphis, TN 38104 Phone: 901-337-4316 | |
Dr. Wendy Michelle Lavigne, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4816 Riverdale Rd, Memphis, TN 38141 Phone: 901-522-6830 |