Mrs Stephanie Jackson, DPT - Physical Therapist in Bountiful, UT

Mrs Stephanie Jackson, DPT is a Physical Therapist based in Bountiful, Utah. Mrs Stephanie Jackson is licensed to practice in Utah (license number 11791605-2401) and her current practice location is 1551 Renaissance Towne Dr Ste 350, Bountiful, Utah. She can be reached at her office (for appointments etc.) via phone at (801) 295-3553.

NPI number for Mrs Stephanie Jackson is 1134723836 and her current mailing address is 1551 Renaissance Towne Dr Ste 350, Bountiful, Utah. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134723836.

Contact Information

Mrs Stephanie Jackson, DPT
1551 Renaissance Towne Dr Ste 350,
Bountiful, UT 84010-7674
(801) 295-3553
(801) 295-3599



Healthcare Provider's Profile

Full NameMrs Stephanie Jackson
GenderFemale
SpecialityPhysical Therapist
Location1551 Renaissance Towne Dr Ste 350, Bountiful, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1134723836
  • Provider Enumeration Date: 11/24/2020
  • Last Update Date: 11/24/2020

Medical Identifiers

Medical identifiers for Mrs Stephanie Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134723836NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 11791605-2401 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Stephanie Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Stephanie Jackson, DPT
1551 Renaissance Towne Dr Ste 350,
Bountiful, UT 84010-7674

Ph: (801) 295-3553
Mrs Stephanie Jackson, DPT
1551 Renaissance Towne Dr Ste 350,
Bountiful, UT 84010-7674

Ph: (801) 295-3553

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› Verified 2 days ago


Physical Therapist in Bountiful, UT

Jaren Weber, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 74 E 500 S Ste 104, Bountiful, UT 84010
Phone: 801-292-5011    
Mr. Robert Allen Hawkes, MSPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 1551 S Renaissance Twn Dr, Suite 420 Sportsmed Physical Therapy, Bountiful, UT 84010
Phone: 801-295-8999    Fax: 801-292-4168
Jessica Elizabeth Sherman, PT, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 280 N Main St, Bountiful, UT 84010
Phone: 801-397-8700    
Michael Carl Warren, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 74 E 500 S Ste 104, Bountiful, UT 84010
Phone: 801-292-5011    Fax: 801-292-8222
Jessie Balicki,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 523 N Main St, Bountiful, UT 84010
Phone: 801-951-2273    
Mr. Robert J Larsen, MPT ATG
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 1551 S Renaissance Twn Dr, Suite 420, Bountiful, UT 84010
Phone: 801-295-8999    Fax: 801-292-4168

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