KELLY ELISE JACKSON (NPI# 1073998621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073998621 |
| Entity Type | Individual |
| Full Name | KELLY ELISE JACKSON |
| Credential | COTA/L |
| Practice Address |
8109 Interstate 30 Little Rock AR 72209-4840 |
| Practice Telephone | 5015625400 |
| Mailing Telephone | 5015625400 |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2015-07-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OT-A986 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588036263 | Kelly Jackson | Social Worker | 2937 Ne 16th Ter, Gainesville, FL 32609-3234 | 2015-10-21 |
| 1477896876 | Kelly A Jackson | Occupational Therapist | 178 Manila Ave, Staten Island, NY 10306-5608 | 2013-04-03 |
| 1104986793 | Kelly A Jackson | Chiropractor | 190 North Main Street, Natick, MA 01760 | 2006-12-12 |
| 1518982487 | Kelly Donald Jackson | Dentist | 3023 Eastland Blvd Ste 112, Clearwater, FL 33761-4106 | 2006-07-13 |
| 1689273310 | Kelly Jackson | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5312 | 2020-10-23 |
| 1629544655 | Kelly Colleen Jackson | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2018-10-17 |
| 1619457926 | Kelly Jackson | Physician Assistant | 12300 Mccracken Rd, Garfield Heights, OH 44125-2975 | 2018-08-16 |
| 1760961833 | Kelly D Jackson | Licensed Practical Nurse | 602 W Semands St, Conroe, TX 77301-1867 | 2018-08-09 |
| 1841780178 | Kelly Amanda Jackson | Nurse Practitioner | 1700 Medical Center Pkwy, Murfreesboro, TN 37129-2245 | 2018-05-11 |
| 1033653431 | Kelly Jackson | Nurse Practitioner | 606 W Columbia St, San Augustine, TX 75972-1709 | 2016-12-05 |
| Street Address |
8109 INTERSTATE 30 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72209-4840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073679957 | Kem Weathersby | Speech-Language Pathologist | 8109 Interstate 30, Little Rock, AR 72209-4840 | 2006-12-28 |
| 1093227811 | Anthonette Barron | Licensed Practical Nurse | 8109 Interstate 30, Little Rock, AR 72209-4840 | 2017-11-02 |
| 1730690512 | Stephanie Slayton | Day Training/Habilitation Specialist | 8109 Interstate 30, Little Rock, AR 72209-4840 | 2017-10-19 |
| 1750892642 | Sonja Nelson | Licensed Practical Nurse | 8109 Interstate 30, Little Rock, AR 72209-4840 | 2017-10-18 |
| 1124539036 | Winter Noble | Day Training/Habilitation Specialist | 8109 Interstate 30, Little Rock, AR 72209-4840 | 2017-10-18 |
| 1831600873 | Danntionnette Webster | Day Training/Habilitation Specialist | 8109 Interstate 30, Little Rock, AR 72209-4840 | 2017-10-17 |
| 1174034102 | Rebecca Anderson | Licensed Practical Nurse | 8109 Interstate 30, Little Rock, AR 72209-4840 | 2017-10-17 |
| 1588175525 | Mirtha Cellitti | Psychologist | 8109 Interstate 30, Little Rock, AR 72209-4840 | 2017-10-17 |
| 1386155315 | Kathy Vann | Day Training/Habilitation Specialist | 8109 Interstate 30, Little Rock, AR 72209-4840 | 2017-10-17 |
| 1467864074 | Tammy White | Occupational Therapy Assistant | 8109 Interstate 30, Little Rock, AR 72209-4840 | 2014-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386280527 | Tiffany Williams | Counselor | 9914 I-30 Frontage, Little Rock, AR 72209 | 2019-11-22 |
| 1659913861 | Jerry Dean Swiney | Technician | 8401 Community Road, Little Rock, AR 72209 | 2019-10-09 |
| 1720501307 | A2z Therapy of Little Rock | Clinic/Center | 10702 Warren Dr, Little Rock, AR 72209 | 2017-07-25 |
| 1235582560 | Elite Medical Care, LLC | Respiratory Therapist, Registered | 11701 Interstate 30 Ste 100, Little Rock, AR 72209 | 2016-07-21 |
| 1154772127 | Aminah Henderson | Case Manager/Care Coordinator | 9914 I-30 Frontage Rd., Little Rock, AR 72209 | 2016-06-30 |
| 1295151504 | Properly Aligned LLC | Chiropractor | 7117 Geyer Springs, Little Rock, AR 72209 | 2014-03-11 |
| 1396178471 | Renal Treatment Centers - Southeast Lp | Clinic/Center | 6115 Baseline Rd, Ste 100, Little Rock, AR 72209 | 2013-08-13 |
| 1124378039 | Samuel Edward Adkins | Counselor | 9914 I-30 Frontage Road, Little Rock, AR 72209 | 2012-09-18 |
| 1073806790 | Gabrielle Stewart | Counselor | 9914 I-30 Frontage Rd, Little Rock, AR 72209 | 2011-05-27 |
| 1285951079 | Charles Jenson | Psychiatry & Neurology | 11321 Interstate 30 Ste 304, Little Rock, AR 72209 | 2010-05-03 |
| Find all providers in zip 72209 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730664400 | Deanna Leigh Garrison | Occupational Therapy Assistant | 6219 Baseline Rd, Little Rock, AR 72209-4727 | 2018-09-28 |
| 1548798325 | Thomas Cranfield | Occupational Therapy Assistant | 8707 Stanton Rd, Little Rock, AR 72209-5245 | 2017-05-24 |
| 1902278799 | Rachel Curtis Pipkin | Occupational Therapy Assistant | 8 Kings Pointe Cv, Little Rock, AR 72211-3000 | 2015-10-20 |
| 1215310438 | Sarah White | Occupational Therapy Assistant | 1413 W Colonel Glenn Rd, Little Rock, AR 72210-5551 | 2015-07-07 |
| 1003214982 | Nicole Claire Civic | Occupational Therapy Assistant | 2508 Gunpowder Rd, Little Rock, AR 72227-3029 | 2014-12-09 |
| 1992113609 | Carly Elizabeth Brasher | Occupational Therapy Assistant | 1823 N Mckinley St, Little Rock, AR 72207-4226 | 2014-07-25 |
| 1942610498 | Karmin V Sproles | Occupational Therapy Assistant | 8018 Lee Summit Dr, Little Rock, AR 72204-8325 | 2014-05-06 |
| 1447483938 | Margaret A. Schulz | Occupational Therapy Assistant | 311 N Woodrow St, Little Rock, AR 72205-4345 | 2009-08-31 |
| 1801402821 | Aim Therapy, LLC | Occupational Therapy Assistant | 1210 Aldersgate Rd, Little Rock, AR 72205-6606 | 2020-09-16 |
| 1114552569 | Madisyn Stewart | Occupational Therapy Assistant | 10310 W Markham St Ste 205, Little Rock, AR 72205-1579 | 2020-03-05 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72209 |
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| 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.