JACKSON PHYSICAL THERAPY AND SPORTS MEDICINE
NPI 1205266764
Physical Therapist - Sports in Las Vegas, NV
NPI Status: Active since November 20, 2013
Contact Information
4765 S DURANGO DR
SUITE 106
LAS VEGAS, NV
ZIP 89147
Phone: (702) 898-7633
Fax: (702) 898-6433
- Organization
- Physical Therapist
- Sports
About JACKSON PHYSICAL THERAPY AND SPORTS MEDICINE
This page provides the complete NPI Profile along with additional information for Jackson Physical Therapy And Sports Medicine, a provider established in Las Vegas, Nevada operating as a Physical Therapist, focusing in sports . The healthcare provider is registered in the NPI registry with number 1205266764 assigned on November 2013. The practitioner's primary taxonomy code is 2251S0007X with license number 1365 (NV). The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Jackson Physical Therapy And Sports Medicine. The authorized official of this NPI record is Brandon L Jackson P.t. (Physical Therapist)
- NPI
- 1205266764
- Provider Legal Name
- BRANDON JACKSON PT
- Other Organization Name
- JACKSON PHYSICAL THERAPY AND SPORTS MEDICINE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4765 S DURANGO DR SUITE 106 LAS VEGAS, NV 89147
- Location Phone
- (702) 898-7633
- Location Fax
- (702) 898-6433
- Mailing Address
- 4765 S DURANGO DR SUITE 106 LAS VEGAS, NV 89147
- Mailing Phone
- (702) 898-7633
- Mailing Fax
- (702) 898-6433
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-20-2013
- Last Update Date
- 05-02-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Therapist Sports
- Taxonomy Code
- 2251S0007X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 1365
- License State
- NV
- Taxonomy Description
- A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1487682076 | MEDICAID (05) | NV | |
| V36322 | MEDICARE PIN (08) | NV |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1205266764, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
LAS VEGAS, NV 89147
LAS VEGAS, NV 89147
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205266764, enumerated as an "organization" on November 20, 2013.
The provider is located at 4765 S DURANGO DR SUITE 106 LAS VEGAS, NV 89147 and the phone number is (702) 898-7633.
Physical Therapist with taxonomy code 2251S0007X and a focus in Sports.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
