| Heather L Jackson, | |
|
20 Powel Avenue, Newport, RI 02840-1816 | |
| (401) 846-6400 | |
| Not Available |
| Full Name | Heather L Jackson |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 20 Powel Avenue, Newport, Rhode Island |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386327351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT03423 (Rhode Island) | Primary |
| Provider Name | Glen Burnie Physical Therapy & Sportscare Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1679630073 PECOS PAC ID: 0042102592 Enrollment ID: O20040329000584 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather L Jackson, 20 Powel Avenue, Newport, RI 02840-1816 Ph: () - | Heather L Jackson, 20 Powel Avenue, Newport, RI 02840-1816 Ph: (401) 846-6400 |
Daniel K Hatch, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17 Memorial Blvd, Newport, RI 02840 Phone: 401-743-0231 | |
Mrs. Tracy Benway, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 6 Dresser St, Newport, RI 02840 Phone: 401-848-7428 | |
Ms. Ann M Galkowski, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 342 Broadway, Newport, RI 02840 Phone: 401-848-5885 | |
Rachel Del Rosario, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19 Friendship St, Suite 160, Newport, RI 02840 Phone: 401-499-7771 Fax: 401-667-0761 | |
Ms. Mariann Teresa Jaroszynski, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 43 Smith Rd, Naval Health Care New England Newport, Newport, RI 02841 Phone: 860-694-2377 Fax: 860-694-3590 | |
Hannah Elizabeth Scanlon, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17 Memorial Blvd, Newport, RI 02840 Phone: 401-743-0231 Fax: 401-287-7762 |