Matthew Holst Jackson, PT | |
1515 N Center St Ste 5, Lonoke, AR 72086-2100 | |
(501) 676-5540 | |
(501) 676-6499 |
Full Name | Matthew Holst Jackson |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 32 Years |
Location | 1515 N Center St Ste 5, Lonoke, Arkansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821068180 | NPI | - | NPPES |
127082721 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT1452 (Arkansas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Arkansas Health And Rehab Llc | 1951792480 | 5 |
Provider Name | Arkansas Health & Rehab Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1679140651 PECOS PAC ID: 1951792480 Enrollment ID: O20211217000076 |
Mailing Address | Practice Location Address |
---|---|
Matthew Holst Jackson, PT Po Box 5718, Kalispell, MT 59903-5718 Ph: (406) 756-0134 | Matthew Holst Jackson, PT 1515 N Center St Ste 5, Lonoke, AR 72086-2100 Ph: (501) 676-5540 |
Emilia C Bussard, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1515 N Center St Ste 5, Lonoke, AR 72086 Phone: 501-676-5540 Fax: 501-676-6499 | |
Elizabeth Hall, PT,DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1515 N Center St, #5, Lonoke, AR 72086 Phone: 501-676-5540 Fax: 501-676-6499 | |
Mr. Jacob Darrell Johnson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1515 North Center Street, Suite 5, Lonoke, AR 72086 Phone: 501-676-5540 Fax: 501-676-6499 | |
Justin Allen Vanlandingham, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1515 N Center St, Suite 5, Lonoke, AR 72086 Phone: 501-676-5540 Fax: 501-676-6499 | |
Cody Schaff, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1515 N Center St Ste 5, Lonoke, AR 72086 Phone: 501-676-5540 Fax: 501-676-6499 | |
Mrs. Devon Morris, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 102 Rice Cir, Lonoke, AR 72086 Phone: 501-676-1684 | |
Caleb S Marsh, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1515 N Center St Ste 5, Lonoke, AR 72086 Phone: 501-676-5540 Fax: 501-676-6499 |