Active NPIIndividual providerSole proprietor

Jessica S Jacko, DPT

Physical Therapist in Eatontown, New Jersey

NPI Number1043974256
Practice location
3 Industrial Way E, Eatontown, NJ 07724-3318
Fax
—
Last updated
October 25, 2021

Jessica Sara Jacko is a Physical Therapist based in Eatontown, NJ. Jessica Sara Jacko practices in Eatontown, NJ and has the professional credentials of DPT. The NPI Number for Jessica Sara Jacko is 1043974256 and holds a License No. 40QA02047800 (NJ). The current practice location address for Jessica Sara Jacko is 3 Industrial Way E, Eatontown, NJ 07724-3318 and can be reached out via phone at 732-544-1557.

Provider Profile Details

NPI Number
1043974256
Provider Name
Jessica Sara Jacko
Credential
DPT
Provider Entity Type
Individual
Gender
Female
Address
3 Industrial Way E, Eatontown, NJ 07724-3318
Phone Number
732-544-1557
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
October 25, 2021
Last Update Date
October 25, 2021
Certification Date
October 25, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
3 Industrial Way E
Eatontown, NJ 07724-3318
Zip
07724-3318
Phone Number
732-544-1557
Eatontown, NJ 07724Get directions →

Provider Business Mailing Address Details

Address
277 Demorest Ave
Avenel, NJ 07001-1106
City
Avenel
State
NJ
Zip
07001-1106
Phone Number
732-343-5591

License Information

License Number
40QA02047800
License State
NJ
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Jessica S Jacko, DPT?

The NPI number of Jessica S Jacko, DPT is 1043974256. It was assigned on October 25, 2021 and is currently active in the NPPES registry.

What is the specialty of Jessica S Jacko, DPT?

Jessica S Jacko, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA02047800.

Where does Jessica S Jacko, DPT practice?

The practice location is 3 Industrial Way E, Eatontown, NJ 07724-3318. The office can be reached at 732-544-1557 (phone).

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 1043974256 directly on the NPPES registry website.

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