| Mackenzie Nicole Jackson, PT, DPT | |
|
552 S Paseo Dorotea Ste 4, Palm Springs, CA 92264-1437 | |
| (760) 325-5950 | |
| (760) 325-5945 |
| Full Name | Mackenzie Nicole Jackson |
|---|---|
| Gender | Female |
| Speciality | Physical Therapy |
| Experience | 4 Years |
| Location | 552 S Paseo Dorotea Ste 4, Palm Springs, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356955751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501019681 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mdrs Spine And Sport Inc | 3274446687 | 144 |
| Provider Name | Mdrs Spine & Sport Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1952394603 PECOS PAC ID: 3274446687 Enrollment ID: O20031111000725 |
| Provider Name | On The Move Rehab |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1356710925 PECOS PAC ID: 6709195316 Enrollment ID: O20151022000752 |
| Mailing Address | Practice Location Address |
|---|---|
| Mackenzie Nicole Jackson, PT, DPT 552 S Paseo Dorotea Ste 4, Palm Springs, CA 92264-1437 Ph: (760) 325-5950 | Mackenzie Nicole Jackson, PT, DPT 552 S Paseo Dorotea Ste 4, Palm Springs, CA 92264-1437 Ph: (760) 325-5950 |
Roy Dean Burton, MPT, DPT,CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2208 N Blando Rd, Palm Springs, CA 92262 Phone: 760-322-2436 | |
Jay Arthur Forgeron, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1090 N Palm Canyon Dr Ste D, Palm Springs, CA 92262 Phone: 760-778-7150 Fax: 760-778-7180 | |
Christian Slotter, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4050 Airport Center Dr Ste D, Suite D, Palm Springs, CA 92264 Phone: 760-325-5950 | |
Pete Grabenstetter, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 S Farrell Dr, Ste B202, Palm Springs, CA 92262 Phone: 760-327-3416 Fax: 760-327-0606 | |
Kimberly Ann Brudin-flores, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4050 Airport Center Dr, Suite D, Palm Springs, CA 92264 Phone: 760-325-5950 Fax: 760-325-5945 | |
Sarah Marie Hare, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 552 S Paseo Dorotea Ste 4, Palm Springs, CA 92264 Phone: 760-325-5950 Fax: 760-325-5945 | |
Christopher Bingham Trimble, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 555 E Tachevah Dr, 1 East Suite 201, Palm Springs, CA 92262 Phone: 760-778-7150 Fax: 760-778-7180 |