Bethany I Jackson
Physical Therapy Assistant in Irvington, New Jersey
1669830204- Practice location
- 10 Marshall St, Apt 5A, Irvington, NJ 07111-8701
- Phone
- 201-344-3960
- Fax
- —
- Last updated
- February 9, 2016
Bethany I Jackson is a Physical Therapy Assistant based in Irvington, NJ. Bethany I Jackson practices in Irvington, NJ. The NPI Number for Bethany I Jackson is 1669830204 and holds a License No. 40QB00293000 (NJ). The current practice location address for Bethany I Jackson is 10 Marshall St, Apt 5A, Irvington, NJ 07111-8701 and can be reached out via phone at 201-344-3960.
Provider Profile Details
- NPI Number
- 1669830204
- Provider Name
- Bethany I Jackson
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 10 Marshall St, Apt 5A, Irvington, NJ 07111-8701
- Phone Number
- 201-344-3960
- Primary Taxonomy
- Physical Therapy Assistant · 225200000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 9, 2016
- Last Update Date
- February 9, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 10 Marshall St
Apt 5A
Irvington, NJ 07111-8701 - City
- Irvington
- State
- New Jersey
- Zip
- 07111-8701
- Phone Number
- 201-344-3960
Provider Business Mailing Address Details
- Address
- 10 Marshall St
Apt 5A
Irvington, NJ 07111-8701 - City
- Irvington
- State
- NJ
- Zip
- 07111-8701
- Phone Number
- 201-344-3960
License Information
- License Number
- 40QB00293000
- License State
- NJ
- Taxonomy
- Physical Therapy Assistant · 225200000X · 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 Bethany I Jackson?
The NPI number of Bethany I Jackson is 1669830204. It was assigned on February 9, 2016 and is currently active in the NPPES registry.
What is the specialty of Bethany I Jackson?
Bethany I Jackson is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number 40QB00293000.
Where does Bethany I Jackson practice?
The practice location is 10 Marshall St, Apt 5A, Irvington, NJ 07111-8701. The office can be reached at 201-344-3960 (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 1669830204 directly on the NPPES registry website.