Active NPIIndividual provider

Kaitlin Jackson

Physical Therapist in Princeton, New Jersey

NPI Number1528347507
Practice location
743 Alexander RD, Suite 2, Princeton, NJ 08540-6328
Fax
609-419-0023
Last updated
August 9, 2011

Kaitlin Jackson is a Physical Therapist based in Princeton, NJ. Kaitlin Jackson practices in Princeton, NJ. The NPI Number for Kaitlin Jackson is 1528347507 and holds a License No. 40QA01411300 (NJ). The current practice location address for Kaitlin Jackson is 743 Alexander RD, Suite 2, Princeton, NJ 08540-6328 and can be reached out via phone at 609-419-0455 and via fax at 609-419-0023.

Provider Profile Details

NPI Number
1528347507
Provider Name
Kaitlin Jackson
Provider Entity Type
Individual
Gender
Female
Address
743 Alexander RD, Suite 2, Princeton, NJ 08540-6328
Phone Number
609-419-0455
Fax Number
609-419-0023
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
August 9, 2011
Last Update Date
August 9, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
743 Alexander RD
Suite 2
Princeton, NJ 08540-6328
Zip
08540-6328
Phone Number
609-419-0455
Fax Number
609-419-0023
Princeton, NJ 08540Get directions →

Provider Business Mailing Address Details

Address
Po Box 310
Three Bridges, NJ 08887-0310
City
Three Bridges
State
NJ
Zip
08887-0310
Phone Number
908-806-2000
Fax Number
908-806-2003

License Information

License Number
40QA01411300
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 Kaitlin Jackson?

The NPI number of Kaitlin Jackson is 1528347507. It was assigned on August 9, 2011 and is currently active in the NPPES registry.

What is the specialty of Kaitlin Jackson?

Kaitlin Jackson is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01411300.

Where does Kaitlin Jackson practice?

The practice location is 743 Alexander RD, Suite 2, Princeton, NJ 08540-6328. The office can be reached at 609-419-0455 (phone) or 609-419-0023 (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 1528347507 directly on the NPPES registry website.

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