Active NPIIndividual provider

Roxie J Jackson, PTA

Physical Therapy Assistant in Keansburg, New Jersey

NPI Number1306045711
Practice location
32 Laurel Ave, Keansburg, NJ 07734-1125
Fax
—
Last updated
July 16, 2007

Roxie J Jackson is a Physical Therapy Assistant based in Keansburg, NJ. Roxie J Jackson practices in Keansburg, NJ and has the professional credentials of PTA. The NPI Number for Roxie J Jackson is 1306045711 and holds a License No. 40QB0090800 (NJ). The current practice location address for Roxie J Jackson is 32 Laurel Ave, Keansburg, NJ 07734-1125 and can be reached out via phone at 732-787-8100.

Provider Profile Details

NPI Number
1306045711
Provider Name
Roxie J Jackson
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
32 Laurel Ave, Keansburg, NJ 07734-1125
Phone Number
732-787-8100
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
July 16, 2007
Last Update Date
July 16, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
32 Laurel Ave
Keansburg, NJ 07734-1125
Zip
07734-1125
Phone Number
732-787-8100
Keansburg, NJ 07734Get directions →

Provider Business Mailing Address Details

Address
31 Morris Pl
D-31
Bloomfield, NJ 07003-3755
City
Bloomfield
State
NJ
Zip
07003-3755
Phone Number
973-303-1234

License Information

License Number
40QB0090800
License State
NJ
Taxonomy
Physical Therapy Assistant · 225200000X · 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 Roxie J Jackson, PTA?

The NPI number of Roxie J Jackson, PTA is 1306045711. It was assigned on July 16, 2007 and is currently active in the NPPES registry.

What is the specialty of Roxie J Jackson, PTA?

Roxie J Jackson, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number 40QB0090800.

Where does Roxie J Jackson, PTA practice?

The practice location is 32 Laurel Ave, Keansburg, NJ 07734-1125. The office can be reached at 732-787-8100 (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 1306045711 directly on the NPPES registry website.

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