| Nkolika Jackson, PT | |
|
14409 Greenview Dr, Ste 102, Laurel, MD 20708-3293 | |
| (301) 498-8100 | |
| (301) 498-0009 |
| Full Name | Nkolika Jackson |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 14409 Greenview Dr, Laurel, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306140835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 22923 (Maryland) | Primary |
| Provider Name | Salus Capital Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1568859478 PECOS PAC ID: 6103131198 Enrollment ID: O20151008000415 |
| Provider Name | Healthpro Heritage Rehab & Fitness Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1588013155 PECOS PAC ID: 6507832573 Enrollment ID: O20190715000836 |
| Mailing Address | Practice Location Address |
|---|---|
| Nkolika Jackson, PT 14409 Greenview Dr, Ste 102, Laurel, MD 20708-3293 Ph: (301) 498-8100 | Nkolika Jackson, PT 14409 Greenview Dr, Ste 102, Laurel, MD 20708-3293 Ph: (301) 498-8100 |
Kristina Ling, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14409 Greenview Dr Ste 102, Laurel, MD 20708 Phone: 301-498-8100 Fax: 301-498-0009 | |
Yasaman Razavi, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13946 Baltimore Ave, Laurel, MD 20707 Phone: 301-498-2212 Fax: 301-446-1647 | |
Susan Kruger, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14409 Greenview Dr Ste 102, Laurel, MD 20708 Phone: 301-498-8100 | |
Ms. Michele Jacqueline Epps, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14502 Greenview Dr, St. 406, Laurel, MD 20708 Phone: 301-362-0114 | |
Leslie Goddard, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14409 Greenview Dr, Suite 102, Laurel, MD 20708 Phone: 301-498-8100 Fax: 301-498-0009 | |
United Physical Therapy Associates Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7634 N Arbory Way, Laurel, MD 20707 Phone: 301-919-4386 | |
Ms. Maria Laura Soto, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14200 Laurel Park Dr, Laurel, MD 20707 Phone: 410-724-3423 |