JULIE MARIE JACKSON (NPI# 1104427608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104427608 |
| Entity Type | Individual |
| Full Name | JULIE MARIE JACKSON |
| Credential | OT |
| Practice Address |
9320 Avalon Cir Centerville OH 45458-4989 |
| Mailing Address |
319 Woodside Trl Lebanon OH 45036-7839 |
| Practice Telephone | 9378855426 |
| Mailing Telephone | 9374758576 |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 003568 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114525672 | Julie Jackson | Pharmacist | 310 Nw Ward Rd, Lees Summit, MO 64081 | 2020-10-15 |
| 1174139794 | Julie Jackson | Counselor | 8208 Farmington Ct, Austin, TX 78736-1744 | 2020-09-18 |
| 1962031070 | Julie Marie Jackson | Licensed Vocational Nurse | 3518 Vzcr 2602, Willspoint, TX 75169 | 2020-04-02 |
| 1346737988 | Julie Jackson | Occupational Therapist | 214 Westwood Rd, Columbus, OH 43214 | 2018-04-19 |
| 1902315732 | Julie Jackson | Nutritionist | 5792 Drakes Dr, Discovery Bay, CA 94505-9380 | 2017-09-25 |
| 1871040469 | Julie R Jackson | Counselor | 7810 Prineville-mathews Road, Charlotte, NC 28226 | 2016-09-01 |
| 1568892073 | Julie Jackson | Nurse Practitioner | University of Cincinnati Academic Health Ctr, 231 Albert Sabin Way, Suite 1358, Cincinnati, OH 45267-0769 | 2013-11-19 |
| 1629204706 | Julie Anna Jackson | Behavioral Analyst | 14905 Foxhound Pl, Tampa, FL 33624-2124 | 2009-06-03 |
| 1689702128 | Julie D Jackson | Physical Therapist | 2750 Mount Pleasant St # 104, Burlington, IA 52601-2136 | 2007-02-28 |
| 1760485106 | Julie Ann Jackson | Optometrist | 11927 Cobblestone Dr, Houston, TX 77024-5053 | 2005-05-31 |
| Street Address |
9320 AVALON CIR |
| City | CENTERVILLE |
| State | OH |
| Zip Code | 45458-4989 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659988012 | Karyn Enlow | Physical Therapist | 9320 Avalon Cir, Centerville, OH 45458-4989 | 2020-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948170 | John M Duchak Md Cardiology LLC | Specialist | 1036 Wild Hickory Lane, Centerville, OH 45458 | 2020-09-24 |
| 1942833389 | Colleen Stevens | Counselor | 955 Sweeney Drive, Dayton, OH 45458 | 2020-02-13 |
| 1740770197 | Social Row Transitional Care, Inc. | Skilled Nursing Facility | 250 West Social Row Road, Centerville, OH 45458 | 2018-05-11 |
| 1326568833 | Mary Ann Horton | Registered Nurse | 1362 Hickoryview Ct, Dayton, OH 45458 | 2017-06-26 |
| 1487101911 | Brianna Burkman | Specialist/Technologist | 1400 Stone Ash Ct, Centerville, OH 45458 | 2016-09-01 |
| 1720434707 | Ascent Health, LLC | Community/Behavioral Health | 1162 Peachcreek Rd., Dayton, OH 45458 | 2016-05-10 |
| 1821450206 | Chi Living Communties | Skilled Nursing Facility | 1050 St. Leonard Way, Centerville, OH 45458 | 2016-03-24 |
| 1265842835 | Amanda Powell | Physical Therapist | 9582 Tahoe Drive, Centerville, OH 45458 | 2014-05-05 |
| 1255774337 | Rita Charlene Penley | Counselor | 99 South Main St, Centerville, OH 45458 | 2013-04-09 |
| 1447503933 | Martha Ann Sheldrick | Nurse Practitioner | 212 Walnut Grove Dr, Centerville, OH 45458 | 2012-10-21 |
| Find all providers in zip 45458 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811462161 | Laurel Geer | Occupational Therapist | 21517 Little Cooley Rd, Centerville, PA 16404-1635 | 2018-10-12 |
| 1497236186 | Diana Balser | Occupational Therapist | 10949 Cobble Brook Dr, Centerville, OH 45458-9739 | 2018-08-22 |
| 1457857492 | Shay Brown | Occupational Therapist | 109 Crestwood Ct, Centerville, GA 31028-1414 | 2018-03-30 |
| 1992045082 | Keri Anne Hansen | Occupational Therapist | 2201 State St, Centerville, SD 57014-2300 | 2013-02-26 |
| 1699033654 | Shalee Stevens | Occupational Therapist | 29238 463rd Ave, Centerville, SD 57014-6704 | 2012-04-27 |
| 1013478510 | Alexandra Demboski | Occupational Therapist | 1700 Thomas Paine Pkwy, Centerville, OH 45459-2541 | 2019-03-27 |
| 1891266672 | Shawn Dale Morgan | Occupational Therapist | 715 Congress Park Dr, Centerville, OH 45459-4044 | 2018-12-05 |
| 1538601232 | Claire Murphy | Occupational Therapist | 1700 Thomas Paine Pkwy, Centerville, OH 45459-2541 | 2016-11-11 |
| 1003269655 | Lauren Michelle Becker | Occupational Therapist | 1700 Thomas Paine Pkwy, Centerville, OH 45459-2541 | 2016-07-19 |
| 1942675152 | Courtney Blake | Occupational Therapist | 500 Vermillion St, Centerville, SD 57014-2168 | 2015-12-14 |
| Find all providers in CENTERVILLE | ||||
| City | CENTERVILLE |
| Zip Code | 45458 |
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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.