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:
Map and Directions
Authorized official contact:
Name: Jackson, Brandon L Physical Therapist (PT)
Phone: (702) 845-1386

Health care specialties

SpecialtyCodeLicense #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 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205266764 NPPES
Nevada MEDICAID 1487682076

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