MEDICARE: KRYSTEN ASHLEY JACKSON P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	38636	CA

General Provider Information

NPI Number	:	1639453772
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRYSTEN ASHLEY JACKSON P.T.

Provider Business Mailing Address
First Line	:	200 NEWPORT CENTER DR
Second Line	:	213
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-7501
Country	:	US
Telephone Number	:	949-644-1322
Fax Number	:	949-644-0316

Provider Business Practice Location Address
First Line	:	6930 WARNER AVE
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92647-5316
Country	:	US
Telephone Number	:	714-847-3800
Fax Number	:	714-847-1413

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/07/2011
Last Update Date	:	12/15/2021

Similar Medicare Providers

1922083013 — SUZANNE JOYCE ROH-FREEMAN PT
Practice Location Address:

6930 WARNER AVE
HUNTINGTON BEACH, CA
92647-5316

Practice Phone: 714-847-3800
Practice Fax: 714-847-1413

1467401505 — ALAN E VOGEL P.T.
Practice Location Address:

6930 WARNER AVE
HUNTINGTON BEACH, CA
92647-5316

Practice Phone: 714-847-3800
Practice Fax: 714-847-1413

1225070816 — RONALD W. THOMPSON & SCOTT D. CHRISTENSEN
Practice Location Address:

6968 WARNER AVE
HUNTINGTON BEACH, CA
92647-5316

Practice Phone: 714-842-5593
Practice Fax: 714-842-6198

1558542233 — RONALD WAYNE THOMPSON DDS
Practice Location Address:

6968 WARNER AVE
HUNTINGTON BEACH, CA
92647-5316

Practice Phone: 714-842-5593
Practice Fax: 714-842-6198

1710168497 — SCOTT CHRISTENSEN DDS
Practice Location Address:

6968 WARNER AVE
HUNTINGTON BEACH, CA
92647-5316

Practice Phone: 714-842-5593
Practice Fax: 714-842-6198

1033497730 — DR. JEFFREY MICHAEL COLEMAN DDS
Practice Location Address:

6968 WARNER AVE
HUNTINGTON BEACH, CA
92647-5316

Practice Phone: 714-842-5593
Practice Fax:

Directions to “ KRYSTEN ASHLEY JACKSON P.T.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.