John Jackson
Physical Therapy Assistant · Chittenango, NY
Practice location
209 Lake StChittenango, NY 13037-1518
- Phone
- (315) 256-3615
NPI record
- NPI
- 1992202832
- Entity type
- Individual (Type 1)
- Enumeration date
- April 8, 2018
- Last updated
- April 8, 2018
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X |
011063 | NY |
About John Jackson
John Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 209 Lake St, Chittenango, NY 13037-1518. The NPI number 1992202832 was assigned on April 8, 2018 and the record was last updated on April 8, 2018.
John Jackson lists a license in the registry: #011063 (NY) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of John Jackson?
The NPI number is 1992202832.
What is the phone number of John Jackson?
The phone number listed for the practice location is (315) 256-3615.
Where is John Jackson located?
209 Lake St, Chittenango, NY 13037-1518.
What is the taxonomy code for John Jackson?
The primary taxonomy code is 225200000X – Physical Therapy Assistant.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.