Jason W Thackeray Md Pa
Orthopaedic Surgery (Sports Medicine) Clinic
1034 Mar Walt Dr Ste 100, Fort Walton Beach
Florida, 32547-6645
850-863-2153 850-315-9350
Maps & DirectionsJason W Thackeray Md Pa is a Sports Orthopedic Clinic in Fort Walton Beach, Florida. It is situated at 1034 Mar Walt Dr Ste 100, Fort Walton Beach and its contact number is 850-863-2153. The authorized person of Jason W Thackeray Md Pa is Jason W Thackeray
who is Physician of the clinic and their contact number is 850-863-2153. Other organizations associated with this clinic are Theodore I Macey Md Pa, Mark J Tenholder Md Pa, William R Marshall Md Pa, Jason W Thackeray Md Pa, John C Warburton Md Pa, Primary license number for Jason W Thackeray Md Pa is ME77615 (Orthopaedic Surgery (Sports Medicine)) in Florida.
Jason W Thackeray Md Pa Clinic has sports orthopaedic surgeons who are trained in sports medicine which help to provide appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Complete Profile:
Jason W Thackeray Md Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Specialization: | Sports Medicine |
| Clinic Address: | 1034 Mar Walt Dr Ste 100, Fort Walton Beach, Florida, 32547-6645 |
| Phone: | 850-863-2153 |
| Fax: | 850-315-9350 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Jason W Thackeray |
| Position: | Physician |
| Contact Number: | 850-863-2153 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Jason W Thackeray Md Pa Clinic are as mentioned below.
| NPI Number: | 1568504173 |
| NPI Enumeration Date: | 12 Feb, 2007 |
| NPI Last Update On: | 29 Oct, 2020 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Theodore I Macey Md Pa | Sports Medicine | 1174665830 |
| Mark J Tenholder Md Pa | Sports Medicine | 1336281773 |
| William R Marshall Md Pa | Sports Medicine | 1396887204 |
| Jason W Thackeray Md Pa | Sports Medicine | 1568504173 |
| John C Warburton Md Pa | Orthopedic Surgery | 1861658338 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jason W Thackeray Md Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| Orthopaedic Surgery (Sports Medicine) | ME77615 | Florida | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 17147 | Other | Florida | Bs Provider Number |
| 265809700 | Medicaid | Florida | |
| 1568504173 | Other | Florida | Railroad Medicare |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jason W Thackeray Md Pa 1034 Mar Walt Dr Ste 100, Fort Walton Beach, Florida |
| Zip: | 32547-6645 |
| Phone Number: | 850-863-2153 |
| Fax Number: | 850-315-9350 |
Patients can reach Jason W Thackeray Md Pa at
1034 Mar Walt Dr Ste 100, Fort Walton Beach, Florida or can
call to book an appointment on 850-863-2153.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.