| Samuel Collins Jackson, DPT | |
|
104 Mauldin Rd Ste B, Greenville, SC 29605-1221 | |
| (864) 214-6680 | |
| (864) 309-8043 |
| Full Name | Samuel Collins Jackson |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 6 Years |
| Location | 104 Mauldin Rd Ste B, Greenville, South Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811511199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 10222 (South Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Foundation Physical Therapy Llc | 5597136507 | 7 |
| Provider Name | Imagine Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1245241041 PECOS PAC ID: 6406860311 Enrollment ID: O20060131000246 |
| Provider Name | Imagine Physical Therapy On Daniel Island Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1972770733 PECOS PAC ID: 9133294077 Enrollment ID: O20080812000702 |
| Provider Name | Imagine Physical Therapy In West Ashley Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1588977862 PECOS PAC ID: 6800072562 Enrollment ID: O20110512000800 |
| Provider Name | Imagine Physical Therapy North Rhett Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1033518766 PECOS PAC ID: 4082939723 Enrollment ID: O20150220001591 |
| Provider Name | Imagine Physical Therapy Old Village Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1477937662 PECOS PAC ID: 4587972450 Enrollment ID: O20150928000781 |
| Provider Name | Foundation Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1124743331 PECOS PAC ID: 5597136507 Enrollment ID: O20230130000319 |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Collins Jackson, DPT 104 Mauldin Rd Ste B, Greenville, SC 29605-1221 Ph: (864) 214-6680 | Samuel Collins Jackson, DPT 104 Mauldin Rd Ste B, Greenville, SC 29605-1221 Ph: (864) 214-6680 |
Caitlyn Esther Soltes, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 29 N Academy St, Greenville, SC 29601 Phone: 864-331-1344 Fax: 864-331-1446 | |
Stephen Craig Miller, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2 Doctors Dr, Greenville, SC 29605 Phone: 864-797-7320 | |
Charlotte Bocchino, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Patewood Dr, Ste C150, Greenville, SC 29615 Phone: 864-454-0904 | |
Madalyn Patricia Cregg, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 200 Patewood Dr Ste C150, Greenville, SC 29615 Phone: 864-454-0904 | |
Nia Kenya, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 115 Pelham Rd Ste 12, Greenville, SC 29615 Phone: 864-558-7346 | |
Sara Elizabeth Martin, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 103 N Main St, Ste 99, Greenville, SC 29601 Phone: 864-528-5728 | |
Mrs. Beverly Jane Calhoun, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Nhl Mauldin, 850 E Butler Rd, Greenville, SC 29607 Phone: 864-675-6421 Fax: 864-675-9122 |