Individual provider · Type 1 NPI
Herman L. Jackson, PTA
Physical Therapy Assistant · New York City, NY
Practice location
Physical Therapy Of Harlem 1400 5th Ave
New York City, NY 10026
Fax (212) 996-9686
Mailing address
24 E 109th St Apt 1A
New York, NY 10029-3472
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 008098 (NY) |
Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …
About NPI 1013423391
Herman L. Jackson, PTA's National Provider Identifier is 1013423391, issued on Dec 21, 2017. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in New York City, NY. The record was last updated on Dec 21, 2017.