| Dr Nicole R Jackson, DPT | |
|
1335 Strassner Dr, Brentwood, MO 63144-1872 | |
| (313) 289-0178 | |
| Not Available |
| Full Name | Dr Nicole R Jackson |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1335 Strassner Dr, Brentwood, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033972104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2305205164 (Virginia) | Primary |
| Provider Name | Empowerme Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1881366730 PECOS PAC ID: 2769723162 Enrollment ID: O20211019001479 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nicole R Jackson, DPT 1335 Strassner Dr, Brentwood, MO 63144-1872 Ph: () - | Dr Nicole R Jackson, DPT 1335 Strassner Dr, Brentwood, MO 63144-1872 Ph: (313) 289-0178 |
Margaret E Braida, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2937 S Brentwood Blvd, Brentwood, MO 63144 Phone: 314-961-3804 Fax: 314-961-1147 | |
Jacqueline D Schranck, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2937 S Brentwood Blvd, Suite 105, Brentwood, MO 63144 Phone: 314-961-3804 Fax: 314-961-1147 | |
Whitney Korgan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2726 Bremerton Rd, Brentwood, MO 63144 Phone: 636-515-3859 | |
Mr. Brian Michael Graf, PT ATC Physical Therapist Medicare: Medicare Enrolled Practice Location: 2937 S Brentwood Blvd, Brentwood, MO 63144 Phone: 314-961-3804 Fax: 314-961-1147 | |
Charlotte Taylor, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2937 S Brentwood Blvd, Brentwood, MO 63144 Phone: 314-961-3804 | |
Kamrun N Alam, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8228 Brentwood Industrial Dr, Brentwood, MO 63144 Phone: 314-218-8966 Fax: 314-781-3448 |