| Action Jackson Physical Therapy, P.c. | |
|
2844 Summit St, Suite 106, Oakland, CA 94609-3637 | |
| (510) 763-3005 | |
| Not Available |
| Full Name | Action Jackson Physical Therapy, P.c. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 2844 Summit St, Oakland, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255700555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT23897 (California) | Primary |
| Provider Name | Shane Jackson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548567571 PECOS PAC ID: 3072797265 Enrollment ID: I20110413000287 |
| Mailing Address | Practice Location Address |
|---|---|
| Action Jackson Physical Therapy, P.c. 1005 Solano Ave, Apt. A, Albany, CA 94706-1617 Ph: (510) 292-5385 | Action Jackson Physical Therapy, P.c. 2844 Summit St, Suite 106, Oakland, CA 94609-3637 Ph: (510) 763-3005 |
Eric Biglang-awa, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1814 Franklin St, Suite 905, Oakland, CA 94612 Phone: 510-893-7463 | |
Suzanne P Whitcomb, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 275 W Macarthur, Oakland, CA 94611 Phone: 510-752-1000 | |
Mr. Matthew Gabrielson, D.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 275 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-6221 | |
Miss Denitza V Hristova, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 275 W Macarthur, Oakland, CA 94611 Phone: 510-752-1000 | |
Barbara Chan, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 350 Hawthorne Ave, Oakland, CA 94609 Phone: 510-655-4000 | |
Sports & Orthopedic Leaders Physical Therapy, Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 4341 Piedmont Ave Ste 201, Oakland, CA 94611 Phone: 510-547-1630 | |
Alison Taba, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5297 College Ave, Oakland, CA 94618 Phone: 510-547-1630 Fax: 510-923-1944 |