| Ms Earlene Jackson, PT, DPT | |
|
7404 Executive Pl, #300b, Lanham, MD 20706-2268 | |
| (301) 599-9500 | |
| Not Available |
| Full Name | Ms Earlene Jackson |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 7404 Executive Pl, Lanham, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417223256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 23062 (Maryland) | Primary |
| Provider Name | Maryland Luna Care Physical Therapy LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1083340988 PECOS PAC ID: 4284017419 Enrollment ID: O20220819002194 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Earlene Jackson, PT, DPT 7404 Executive Pl, #300b, Lanham, MD 20706-2268 Ph: (301) 599-9500 | Ms Earlene Jackson, PT, DPT 7404 Executive Pl, #300b, Lanham, MD 20706-2268 Ph: (301) 599-9500 |
Tina Patel, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4451 Parliament Pl, Lanham, MD 20706 Phone: 615-778-4066 Fax: 615-778-9114 |
Mrs. Lisa Hughes, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8118 Good Luck Rd, Lanham, MD 20706 Phone: 301-552-8507 |
Innovative Physical Therapy, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 9470 Annapolis Rd Ste 310, Lanham, MD 20706 Phone: 240-506-7256 Fax: 240-770-4303 |
Tyffany Jade Tribble, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4451 Parliament Pl, Suite G, Lanham, MD 20706 Phone: 301-459-1214 |
Dr. Elizabeth Darroch, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4400 Forbes Blvd, Lanham, MD 20706 Phone: 413-446-9938 |
Courtney Kearse, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6710 Mallery Dr, Lanham, MD 20706 Phone: 301-552-2000 |
Michael Mcneil, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9885 Greenbelt Rd, Lanham, MD 20706 Phone: 877-407-3422 Fax: 877-407-4329 |