Active NPIIndividual provider

William B Jackson, PTA

Physical Therapy Assistant in Great Barrington, Massachusetts

NPI Number1487846366
Practice location
176 Division St, Great Barrington, MA 01230-1179
Fax
—
Last updated
August 14, 2007

William Bradley Jackson is a Physical Therapy Assistant based in Great Barrington, MA. William Bradley Jackson practices in Great Barrington, MA and has the professional credentials of PTA. The NPI Number for William Bradley Jackson is 1487846366 and holds a License No. 8151 (MA). The current practice location address for William Bradley Jackson is 176 Division St, Great Barrington, MA 01230-1179 and can be reached out via phone at 413-528-4289.

Provider Profile Details

NPI Number
1487846366
Provider Name
William Bradley Jackson
Credential
PTA
Provider Entity Type
Individual
Gender
Male
Address
176 Division St, Great Barrington, MA 01230-1179
Phone Number
413-528-4289
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
August 14, 2007
Last Update Date
August 14, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
176 Division St
Great Barrington, MA 01230-1179
Zip
01230-1179
Phone Number
413-528-4289
Great Barrington, MA 01230Get directions →

Provider Business Mailing Address Details

Address
176 Division St
Great Barrington, MA 01230-1179
City
Great Barrington
State
MA
Zip
01230-1179

License Information

License Number
8151
License State
MA
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 William B Jackson, PTA?

The NPI number of William B Jackson, PTA is 1487846366. It was assigned on August 14, 2007 and is currently active in the NPPES registry.

What is the specialty of William B Jackson, PTA?

William B Jackson, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in MA under license number 8151.

Where does William B Jackson, PTA practice?

The practice location is 176 Division St, Great Barrington, MA 01230-1179. The office can be reached at 413-528-4289 (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 1487846366 directly on the NPPES registry website.

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