| Azeb Jackson, | |
|
4900 High St W, Portsmouth, VA 23703-4226 | |
| (757) 354-6988 | |
| Not Available |
| Full Name | Azeb Jackson |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 4900 High St W, Portsmouth, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588498075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2305203530 (Virginia) | Primary |
| Provider Name | Kempsville Wellness Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1619741139 PECOS PAC ID: 9032559687 Enrollment ID: O20240430000252 |
| Mailing Address | Practice Location Address |
|---|---|
| Azeb Jackson, 5000 Dogwood Trl, Portsmouth, VA 23703-3806 Ph: () - | Azeb Jackson, 4900 High St W, Portsmouth, VA 23703-4226 Ph: (757) 354-6988 |
Dr. Christopher Howard Boykin, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-444-3720 | |
Megan Elizabeth Sterner, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-5000 | |
Churchland Physical Therapy Services, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5900 Churchland Blvd, Portsmouth, VA 23703 Phone: 757-483-0333 Fax: 757-483-9359 | |
Diana Zembrzuski, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2929 London Blvd, Portsmouth, VA 23707 Phone: 757-397-1201 | |
Morgan Tweddle, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-1476 | |
Michael Shane Lashbaugh, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Cir, Naval Medical Center Portsmouth, Portsmouth, VA 23708 Phone: 757-953-1464 Fax: 757-953-0809 | |
Rebekah Langreck, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4900 High St W, Portsmouth, VA 23703 Phone: 757-483-4518 |