Jackson Physical Therapy And Sports Medicine
LBN: Brandon Jackson Pt
Jackson Physical Therapy And Sports Medicine is an health care organization with primary practice located at 4765 S Durango Dr Suite 106, Las Vegas NV 89147-8145. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, which is considered as the primary health care specialty.
Brandon Jackson Pt can be contacted via phone (702) 898-7633, or through Jackson, Brandon L via phone (702) 845-1386.
Contact Information
Primary practice address
4765 S Durango Dr Suite 106
Las Vegas NV 89147-8145
Phone: (702) 898-7633
Fax: (702) 898-6433
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports | 2251S0007X | 1365 | Nevada |
Profile Details
| NPI number | 1205266764 |
|---|---|
| LBN Legal business name | Brandon Jackson Pt |
| DBA Doing business as | Jackson Physical Therapy And Sports Medicine |
| Authorized official | Jackson, Brandon L Physical Therapist (PT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 20th, 2013 |
| Last updated | May 2nd, 2014 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205266764 | NPPES |
| Nevada | MEDICAID | 1487682076 |
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