MR. JEROME GORDON JR.


Address: 787 E Northside Dr, Jackson, MS 39206-4945
Phone: 5048134968

MR. JEROME GORDON JR. (NPI# 1073668596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073668596
Entity Type Individual
Full Name MR. JEROME GORDON JR.
Credential OTR-L
Practice Address 787 E Northside Dr
Jackson
MS 39206-4945
Mailing Address Po Box 587
Clinton
MS 39060-0587
Practice Telephone 5048134968
Mailing Telephone 5048134968
Enumeration Date 2007-01-24
Last Update Date 2019-06-16
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225X00000X Occupational Therapist OT1848 MS Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers JEROME GORDON

NPI Name Taxonomy Address Enumeration
1336642503 Jerome Louis Gordon IIi Registered Nurse 3853 Rosecrans St, San Diego, CA 92110-3115 2018-03-14
1427103886 Jerome S Gordon Psychologist 635 Church St Ne, Salem, OR 97301-2402 2007-01-24

Office Location

Street Address 787 E NORTHSIDE DR
City JACKSON
State MS
Zip Code 39206-4945

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912559097 Michael Albert Reed Psychoanalyst 787 E Northside Dr, Jackson, MS 39206-4945 2019-07-10
1972164176 Best Outcomes Therapeutic Services, LLC Counselor 787 E Northside Dr, Jackson, MS 39206-4945 2019-06-27
1124591573 Kenisha Wheeler Gordon Counselor 787 E Northside Dr, Jackson, MS 39206-4945 2019-01-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023661824 Latoya Lanette Trunell Occupational Therapy Assistant 787 East Northside Drive, Jackson, MS 39206 2019-07-20
1649839291 Andrew Harris Dentist 4505 I-55 Frontage Rd. N, Jackson, MS 39206 2019-06-07
1679065916 Savannah Lee Zachry Physical Therapist 5140 Galaxie Dr Ste 108, Jackson, MS 39206 2018-06-02
1669987723 Harmony House Calls LLC Nurse Practitioner 5140 Galaxie Dr Ste 105, Jackson, MS 39206 2017-12-11
1841719903 Yolanda Yvette Bell Nurse Practitioner 6064 Whitestone Rd, Jackson, MS 39206 2017-09-10
1760907117 Anthony Brown Jr. Physical Therapist 5411 I-55 North, Jackson, MS 39206 2017-08-07
1114457132 Ambric N Williams Occupational Therapy Assistant 6017 Whitestone Rd, Jackson, MS 39206 2017-06-13
1952835613 Peak Chiropractic Care, LLC Chiropractor 4915 I-55 North, Suite 201b, Jackson, MS 39206 2017-04-19
1447798293 Peterkin and Associates of Mississippi Inc Community/Behavioral Health 5155 Galaxie Drive, Suite F, Jackson, MS 39206 2017-02-01
1952844219 Jennifer Penick Counselor 460 Briarwood Drive, Suite 510, Jackson, MS 39206 2016-11-18
Find all providers in zip 39206

Taxonomy Information

Taxonomy Code 225X00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist

Taxonomy Definition

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326649740 Madison Mcbride Occupational Therapist 442 Redmond St, Jackson, WY 83001-8451 2020-11-03
1336763135 Jill Elaine Beattie Green Occupational Therapist 100 Ky-15, Jackson, KY 41339 2020-06-08
1619517869 Cristen N Sudduth Occupational Therapist 374 Savanna St, Jackson, MS 39212-5257 2020-01-15
1144869892 Jill Garaffa Occupational Therapist 6 Three Pence Ln, Jackson, NJ 08527-2256 2019-12-29
1821565383 Brynn Corbello Occupational Therapist 5140 Galaxie Dr, Jackson, MS 39206-4335 2018-11-01
1205302601 Christopher Charles Patania Occupational Therapist 2890 Noon Rd, Jackson, MI 49201-9134 2018-10-23
1770014300 Haley Morris Occupational Therapist 556 N Donna Dr, Jackson, MO 63755-8080 2017-03-24
1174072920 Fortunato Alipala Occupational Therapist 320 Hidden Meadows Dr, Jackson, MO 63755-3274 2016-09-21
1992252423 Joshua Muchnick Occupational Therapist 826 Green Valley Road, Jackson, NJ 08527-2944 2016-09-01
1134591423 Eleazar Kapunan Occupational Therapist 21 Silvercrest Cv, Jackson, TN 38305-7862 2015-10-26
Find all providers in JACKSON

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City JACKSON
Zip Code 39206

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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