| Thomas Lloyd Jackson, DPT | |
|
1417 S Pollock St, Selma, NC 27576-3405 | |
| (919) 300-5040 | |
| Not Available |
| Full Name | Thomas Lloyd Jackson |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 1 Years |
| Location | 1417 S Pollock St, Selma, North 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 |
|---|---|---|---|
| 1093505042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | P24241 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Activcare Physical Therapy, Llc | 8628027471 | 126 |
| Provider Name | Activcare Physical Therapy, LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1548409626 PECOS PAC ID: 8628027471 Enrollment ID: O20090513000597 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Lloyd Jackson, DPT 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (570) 550-0168 | Thomas Lloyd Jackson, DPT 1417 S Pollock St, Selma, NC 27576-3405 Ph: (919) 300-5040 |
Matthew Ryan Mcdonald, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1417 S Pollock St, Selma, NC 27576 Phone: 919-300-5040 Fax: 919-438-0893 |
Connor John Tripp, DPT, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1417 S Pollock St, Selma, NC 27576 Phone: 919-300-5040 |
Christopher Iriving Gridley, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1417 S Pollock St, Selma, NC 27576 Phone: 919-300-5040 Fax: 919-438-0893 |
Brandon Charles Joseph, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1417 S Pollock St, Selma, NC 27576 Phone: 919-300-5040 |