Mr Thomas Eugene Jackson, PT - Physical Therapist in Azusa, CA

Mr Thomas Eugene Jackson, PT is a Physical Therapist based in Azusa, California. Mr Thomas Eugene Jackson is licensed to practice in California (license number 9248) and his current practice location is 830 S. Citrus Ave, Suite 203, Azusa, California. He can be reached at his office (for appointments etc.) via phone at (626) 339-6514.

NPI number for Mr Thomas Eugene Jackson is 1790979292 and his current mailing address is 1327 Mountain View Ave, South Pasadena, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790979292.

Contact Information

Mr Thomas Eugene Jackson, PT
830 S. Citrus Ave, Suite 203,
Azusa, CA 91702
(626) 339-6514
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMr Thomas Eugene Jackson
GenderMale
SpecialityPhysical Therapist
Location830 S. Citrus Ave, Azusa, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1790979292
  • Provider Enumeration Date: 08/28/2007
  • Last Update Date: 08/30/2007

Medical Identifiers

Medical identifiers for Mr Thomas Eugene Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790979292NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 9248 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Thomas Eugene Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Thomas Eugene Jackson, PT
1327 Mountain View Ave,
South Pasadena, CA 91030-3607

Ph: (323) 255-9263
Mr Thomas Eugene Jackson, PT
830 S. Citrus Ave, Suite 203,
Azusa, CA 91702

Ph: (626) 339-6514

Reviews and Comments


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