| Brandon Jackson, P T | |
|
4765 S. Durango Dr., Ste 106, Las Vegas, NV 89147 | |
| (702) 898-7633 | |
| (702) 898-6433 |
| Full Name | Brandon Jackson, P T |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 4765 S. Durango Dr., Las Vegas, Nevada |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487682076 | NPI | - | NPPES |
| 100506016 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1365 (Nevada) | Primary |
| Provider Name | Jeffrey P Leavitt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710923917 PECOS PAC ID: 1850308875 Enrollment ID: I20060316000349 |
| Provider Name | Joel D Lapka |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811913007 PECOS PAC ID: 2961409438 Enrollment ID: I20061025000399 |
| Provider Name | Brandon L Jackson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952340671 PECOS PAC ID: 7719993195 Enrollment ID: I20120208000094 |
| Provider Name | Aaron Thomas Mcdonald |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043677610 PECOS PAC ID: 0345547717 Enrollment ID: I20160330000763 |
| Provider Name | Heather Fox |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609361914 PECOS PAC ID: 6507116761 Enrollment ID: I20180910000668 |
| Provider Name | Jon Alex Cantal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437783263 PECOS PAC ID: 9335577899 Enrollment ID: I20200316001000 |
| Provider Name | Shivangi M Bavishi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790314011 PECOS PAC ID: 3577993013 Enrollment ID: I20200423001606 |
| Provider Name | Patrick Wagner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316562150 PECOS PAC ID: 8921420720 Enrollment ID: I20200624002387 |
| Provider Name | Christopher Massa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740658285 PECOS PAC ID: 3678864477 Enrollment ID: I20211025002899 |
| Provider Name | Connie Pirkle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871825992 PECOS PAC ID: 0840325809 Enrollment ID: I20220114002083 |
| Provider Name | Alfredo C Mendoza |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932876919 PECOS PAC ID: 5496148918 Enrollment ID: I20220204002199 |
| Provider Name | Vincent De Luna |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154649309 PECOS PAC ID: 7719362342 Enrollment ID: I20220919002395 |
| Provider Name | Chloe Nieves |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205614559 PECOS PAC ID: 0244685196 Enrollment ID: I20231012000539 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Jackson, P T 4765 S. Durango Dr., Ste 106, Las Vegas, NV 89147 Ph: (702) 898-7633 | Brandon Jackson, P T 4765 S. Durango Dr., Ste 106, Las Vegas, NV 89147 Ph: (702) 898-7633 |
Athleticare, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 8333 S Eastern Ave, Las Vegas, NV 89123 Phone: 702-263-3802 Fax: 702-270-7740 | |
Ceferino Villafuerte, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2029 Winter Wind St, Las Vegas, NV 89134 Phone: 702-869-6714 | |
Kelsey Zane Daniels, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6345 S Jones Blvd Ste 300, Las Vegas, NV 89118 Phone: 702-515-4009 | |
Mr. Gladstone George, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2832 S Maryland Pkwy, Las Vegas, NV 89109 Phone: 702-735-5848 Fax: 702-735-6218 | |
New Century Rehabilitation, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6830 W Oquendo Rd, Suite 101, Las Vegas, NV 89118 Phone: 702-258-3066 | |
Mr. Chanha Hwang, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9408 Del Webb Blvd, Las Vegas, NV 89134 Phone: 702-268-5090 | |
Christelle Fernandez, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4765 S Durango Dr Ste 106, Las Vegas, NV 89147 Phone: 702-898-7633 |