Mr. Herman L Jackson, PTA
Physical Therapy Assistant in New York City, New York
1013423391- Practice location
- Physical Therapy Of Harlem 1400 5TH Ave, New York City, NY 10026
- Phone
- 212-996-3303
- Fax
- 212-996-9686
- Last updated
- December 21, 2017
Herman L Jackson is a Physical Therapy Assistant based in New York City, NY. Herman L Jackson practices in New York City, NY and has the professional credentials of PTA. The NPI Number for Herman L Jackson is 1013423391 and holds a License No. 008098 (NY). The current practice location address for Herman L Jackson is Physical Therapy Of Harlem 1400 5TH Ave, New York City, NY 10026 and can be reached out via phone at 212-996-3303 and via fax at 212-996-9686.
Provider Profile Details
- NPI Number
- 1013423391
- Provider Name
- Herman L Jackson
- Credential
- PTA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- Physical Therapy Of Harlem 1400 5TH Ave, New York City, NY 10026
- Phone Number
- 212-996-3303
- Fax Number
- 212-996-9686
- Primary Taxonomy
- Physical Therapy Assistant · 225200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 21, 2017
- Last Update Date
- December 21, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- Physical Therapy Of Harlem 1400 5TH Ave
New York City, NY 10026 - City
- New York City
- State
- New York
- Zip
- 10026
- Phone Number
- 212-996-3303
- Fax Number
- 212-996-9686
Provider Business Mailing Address Details
- Address
- 24 E 109TH St Apt 1A
New York, NY 10029-3472 - City
- New York
- State
- NY
- Zip
- 10029-3472
- Phone Number
- 347-680-2272
License Information
- License Number
- 008098
- License State
- NY
- Taxonomy
- Physical Therapy Assistant · 225200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Herman L Jackson, PTA?
The NPI number of Mr. Herman L Jackson, PTA is 1013423391. It was assigned on December 21, 2017 and is currently active in the NPPES registry.
What is the specialty of Mr. Herman L Jackson, PTA?
Mr. Herman L Jackson, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NY under license number 008098.
Where does Mr. Herman L Jackson, PTA practice?
The practice location is Physical Therapy Of Harlem 1400 5TH Ave, New York City, NY 10026. The office can be reached at 212-996-3303 (phone) or 212-996-9686 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013423391 directly on the NPPES registry website.