| Vivian Sapphira Jackson, | |
|
1602 S Stratford Rd Ste 130, Winston Salem, NC 27103-2959 | |
| (336) 281-2045 | |
| Not Available |
| Full Name | Vivian Sapphira Jackson |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 1 Years |
| Location | 1602 S Stratford Rd Ste 130, Winston Salem, North Carolina |
| 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 |
|---|---|---|---|
| 1285588673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | P24685 (North Carolina) | Primary |
| 225100000X | Physical Therapist | CP053417T (Georgia) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Independent Physical Therapy Of Georgia, Llc | 2961312244 | 526 |
| Provider Name | Independent Physical Therapy of Georgia LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780636068 PECOS PAC ID: 2961312244 Enrollment ID: O20040303000396 |
| Provider Name | Benchmark Physical Therapy, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1083666903 PECOS PAC ID: 1557395209 Enrollment ID: O20050921001120 |
| Provider Name | Agilitas USA, Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20111018000281 |
| Mailing Address | Practice Location Address |
|---|---|
| Vivian Sapphira Jackson, 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: Not Available | Vivian Sapphira Jackson, 1602 S Stratford Rd Ste 130, Winston Salem, NC 27103-2959 Ph: (336) 281-2045 |
Dhiane Lumbres, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3230 Reynolda Rd, Winston Salem, NC 27106 Phone: 336-722-2223 Fax: 336-722-2263 |
Christopher Backus, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2828 Maplewood Ave, Suite A, Winston Salem, NC 27103 Phone: 336-765-4703 Fax: 336-765-1396 |
Sidney Davis Brooks, PT, DPT, CPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 760 Highland Oaks Dr, Winston Salem, NC 27103 Phone: 336-659-8634 Fax: 336-659-8636 |
Novant Health Rehabilitation Center Robinhood Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3474 Robinhood Rd, Winston Salem, NC 27106 Phone: 336-718-6700 Fax: 336-718-6798 |
Dr. Cory Aaron Alcon, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 131 Miller St, Winston Salem, NC 27103 Phone: 336-716-8110 |
Brooke Slatten Balestrieri, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1396b Westgate Center Dr, Winston Salem, NC 27103 Phone: 336-331-3277 Fax: 336-331-3279 |
Kelsey Pelfrey, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 111 Hanestown Ct Ste 151, Winston Salem, NC 27103 Phone: 336-765-9350 |