Sandra Renee Jackson, PT, DPT, CHT - Physical Therapist in Manlius, NY

Sandra Renee Jackson, PT, DPT, CHT is a Physical Therapist based in Manlius, New York. Sandra Renee Jackson is licensed to practice in New York (license number 025060) and her current practice location is 4476 Winding Creek Rd, Manlius, New York. She can be reached at her office (for appointments etc.) via phone at (315) 682-8341.

NPI number for Sandra Renee Jackson is 1740425735 and her current mailing address is 4476 Winding Creek Rd, Manlius, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1740425735.

Contact Information

Sandra Renee Jackson, PT, DPT, CHT
4476 Winding Creek Rd,
Manlius, NY 13104-2482
(315) 682-8341
Not Available



Healthcare Provider's Profile

Full NameSandra Renee Jackson
GenderFemale
SpecialityPhysical Therapist
Location4476 Winding Creek Rd, Manlius, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1740425735
  • Provider Enumeration Date: 12/05/2008
  • Last Update Date: 02/27/2015

Medical Identifiers

Medical identifiers for Sandra Renee Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740425735NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 025060 (New York)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. Sandra Renee 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
Sandra Renee Jackson, PT, DPT, CHT
4476 Winding Creek Rd,
Manlius, NY 13104-8342

Ph: (315) 682-8341
Sandra Renee Jackson, PT, DPT, CHT
4476 Winding Creek Rd,
Manlius, NY 13104-2482

Ph: (315) 682-8341

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Physical Therapist in Manlius, NY

Youssef Boles,
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 8091 Wild Lemon Ln, Manlius, NY 13104
Phone: 315-450-0371    
Damond P Archung, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 105 W Seneca St, Manlius, NY 13104
Phone: 315-682-3387    
Mrs. Susan Marie Demas, P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 8427 Woodbox Rd, Manlius, NY 13104
Phone: 315-345-8652    
Mr. Wayne W. Rath, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 115 Fairgrounds Drive, Suite 2, Manlius, NY 13104
Phone: 315-682-3387    Fax: 315-682-3392
Steven Procopio, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 240 W Seneca St, Manlius, NY 13104
Phone: 315-682-0325    Fax: 315-682-0295
Travis English Macrides, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 8214 Verbeck Dr, Manlius, NY 13104
Phone: 315-399-9892    
Boles Physical Therapy Pllc
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 8091 Wild Lemon Ln, Manlius, NY 13104
Phone: 315-450-0371    

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