Dr. Elise L Jackson, DPT
Physical Therapist in Watertown, Massachusetts
1023533973- Practice location
- 51 Water St # 205, Watertown, MA 02472-4611
- Phone
- 617-744-8300
- Fax
- 617-744-6218
- Last updated
- August 11, 2017
Elise Laura Jackson is a Physical Therapist based in Watertown, MA. Elise Laura Jackson practices in Watertown, MA and has the professional credentials of DPT. The NPI Number for Elise Laura Jackson is 1023533973 and holds a License No. 23221 (MA). The current practice location address for Elise Laura Jackson is 51 Water St # 205, Watertown, MA 02472-4611 and can be reached out via phone at 617-744-8300 and via fax at 617-744-6218.
Provider Profile Details
- NPI Number
- 1023533973
- Provider Name
- Elise Laura Jackson
- Credential
- DPT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 51 Water St # 205, Watertown, MA 02472-4611
- Phone Number
- 617-744-8300
- Fax Number
- 617-744-6218
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 11, 2017
- Last Update Date
- August 11, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 51 Water St # 205
Watertown, MA 02472-4611 - City
- Watertown
- State
- Massachusetts
- Zip
- 02472-4611
- Phone Number
- 617-744-8300
- Fax Number
- 617-744-6218
Provider Business Mailing Address Details
- Address
- 47 Mason St # 2
Somerville, MA 02144-1607 - City
- Somerville
- State
- MA
- Zip
- 02144-1607
- Phone Number
- 978-895-6475
License Information
- License Number
- 23221
- License State
- MA
- Taxonomy
- Physical Therapist · 225100000X · 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 Dr. Elise L Jackson, DPT?
The NPI number of Dr. Elise L Jackson, DPT is 1023533973. It was assigned on August 11, 2017 and is currently active in the NPPES registry.
What is the specialty of Dr. Elise L Jackson, DPT?
Dr. Elise L Jackson, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 23221.
Where does Dr. Elise L Jackson, DPT practice?
The practice location is 51 Water St # 205, Watertown, MA 02472-4611. The office can be reached at 617-744-8300 (phone) or 617-744-6218 (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 1023533973 directly on the NPPES registry website.