Richard P Jackson, | |
9619 S Dixie Hwy, Miami, FL 33156-2804 | |
(305) 722-0568 | |
(305) 670-0899 |
Full Name | Richard P Jackson |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 10 Years |
Location | 9619 S Dixie Hwy, Miami, Florida |
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 |
---|---|---|---|
1053703215 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT30106 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pinecrest Physical Therapy Llc | 6406943406 | 6 |
Pinecrest Pt-south Llc | 9436413077 | 8 |
Provider Name | Pinecrest Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1174607006 PECOS PAC ID: 6406943406 Enrollment ID: O20071107000137 |
Provider Name | Pinecrest Pt-south Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1427562073 PECOS PAC ID: 9436413077 Enrollment ID: O20180507000401 |
Mailing Address | Practice Location Address |
---|---|
Richard P Jackson, Po Box 331933, Miami, FL 33233-1933 Ph: (305) 722-0568 | Richard P Jackson, 9619 S Dixie Hwy, Miami, FL 33156-2804 Ph: (305) 722-0568 |
Christine J De Graan, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1611 Nw 12th Ave, Miami, FL 33136 Phone: 305-585-6334 | |
Mr. Paul Mario Ramos, R.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 14440 Sw 93rd Ct, Miami, FL 33176 Phone: 305-799-1084 | |
Kinetic Rehab Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 13349 Sw 122nd Ave, Miami, FL 33186 Phone: 786-201-1703 Fax: 786-573-3619 | |
Zerquera Integrative Medical Institute Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9220 Sw 72nd St Ste 105, Miami, FL 33173 Phone: 305-274-4351 Fax: 305-274-1455 | |
Ms. Desaly Daniella Gonzalez, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9619 S Dixie Hwy, Miami, FL 33156 Phone: 305-722-0568 Fax: 305-670-0899 | |
Cristina Maria Pappas, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9524 Sw 118th Pl, Miami, FL 33186 Phone: 305-283-4669 | |
Physical Therapy Now Allapattah Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 2060 Nw 22nd Ave Ste L5, Miami, FL 33142 Phone: 786-703-7074 |