JEFFREY SCOTT JACKSON (NPI# 1154792422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154792422 |
| Entity Type | Individual |
| Full Name | JEFFREY SCOTT JACKSON |
| Credential | COTA/L |
| Practice Address |
3209 Bristol Hwy. Nhc Healthcare Johnson City TN 37601 |
| Mailing Address |
3209 Bristol Hwy Nhc Healthcare Johnson City TN 37601 |
| Practice Telephone | 4232823311 |
| Mailing Telephone | 4232823311 |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2015-10-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 224Z00000X | Occupational Therapy Assistant | 0131001482 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 224Z00000X | Occupational Therapy Assistant | 2587 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578193181 | Jeffrey Jackson | Student in an Organized Health Care Education/Training Program | 1055 W Longfellow Dr, Manteno, IL 60950-9472 | 2020-01-22 |
| 1881259570 | Jeffrey Lamar Jackson II | Chiropractor | 13865 S Dixie Hwy # 307, Miami, FL 33176-7221 | 2019-05-08 |
| 1548753965 | Jeffrey Jackson | Social Worker | 2024 Corporate Centre Dr Ste 103, Myrtle Beach, SC 29577-7410 | 2018-06-11 |
| 1447481205 | Jeffrey Brown Jackson | Marriage & Family Therapist | 450 N University Ave, Suite 204, Provo, UT 84601-2860 | 2009-07-28 |
| 1952421927 | Jeffrey W Jackson | Pharmacist | 5510 Lafayette Rd Ste 260, Indianapolis, IN 46254-1691 | 2007-03-30 |
| 1659432607 | Jeffrey L Jackson | Internal Medicine | 500o W National Ave, Milwaukee, WI 53295-0001 | 2006-12-13 |
| 1760589477 | Jeffrey Scott Jackson | Pharmacist | 16821 Rosman Hwy, Lake Toxaway, NC 28747-9593 | 2006-09-17 |
| 1194764860 | Jeffrey Kline Jackson | Family Medicine | 2200 W Touhy Ave, Chicago, IL 60645-3412 | 2006-06-06 |
| 1972563443 | Jeffrey A Jackson | Internal Medicine | 720 Eskenzi Ave., Indianapolis, IN 46202-5166 | 2006-03-27 |
| 1033759154 | Jeffrey Frank Jackson | Nurse Anesthetist, Certified Registered | 2142 N Cove Blvd, Toledo, OH 43606-3895 | 2020-01-07 |
| Street Address |
3209 BRISTOL HWY. NHC HEALTHCARE |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396381992 | Juan Carlos Simon Villegas Gomez | Specialist/Technologist | 1081 John Robert Bell Dr, Johnson City, TN 37601 | 2019-11-19 |
| 1629537279 | Jaima Suzanne Price | Hearing Instrument Specialist | 106 E Watauga Avenue, Johnson City, TN 37601 | 2019-03-13 |
| 1275004467 | Brittany Howell | Speech-Language Pathologist | 2114 E. Fairview Ave, Johnson City, TN 37601 | 2018-12-16 |
| 1194229948 | Heather Chantel Lester | Physical Therapist | 2114 E. Fairview Avenue, Johnson City, TN 37601 | 2018-03-19 |
| 1477061869 | Patrick Conway Reynolds | Specialist/Technologist | 1081 John Robert Bell Drive, Johnson City, TN 37601 | 2018-01-19 |
| 1790201135 | Surgical Services of East Tennessee PC | Surgery | 300 East Main St., Suite 301, Johnson City, TN 37601 | 2017-08-17 |
| 1073065694 | Davina Leah Reppond | Home Health | 1204 E Myrtle Ave, Johnsoncity, TN 37601 | 2016-10-31 |
| 1003365503 | Wendi Y Minutolo | Behavioral Analyst | 403 Princeton Rd Ste 3, Johnson City, TN 37601 | 2016-09-25 |
| 1306208798 | Rachel Anne Anderson | Nurse Practitioner | 1118 East Holston Avenue, Johnson City, TN 37601 | 2016-03-24 |
| 1932560976 | Kaydee Louise Davidson | Occupational Therapist | 3209 Bristol Highway, Johnson City, TN 37601 | 2016-03-18 |
| Find all providers in zip 37601 | ||||
| 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 |
|---|---|---|---|---|
| 1659750941 | Paula Reborchick | Occupational Therapy Assistant | 1406 Skyline Dr, R102, Johnson City, TN 37604-4344 | 2015-05-20 |
| 1104235837 | Katie Hillman | Occupational Therapy Assistant | 2303 E Lakeview Dr, Johnson City, TN 37601-1833 | 2014-08-06 |
| 1396056099 | Carey Ann Mallozzi | Occupational Therapy Assistant | 36 North Hudson Street, Johnson City, NY 13790-2615 | 2010-06-28 |
| 1710153267 | Nancy Jo Flaherty | Occupational Therapy Assistant | 3329 Bondwood Cir, Johnson City, TN 37604-8904 | 2008-05-05 |
| 1982202974 | Benjamin Hendrickson | Occupational Therapy Assistant | 140 Technology Ln, Johnson City, TN 37604-2004 | 2020-10-13 |
| 1306312780 | Kaitlyn Abigail Harmon | Occupational Therapy Assistant | 3209 Bristol Hwy, Johnson City, TN 37601-1515 | 2018-10-23 |
| 1336650373 | Becky Campbell | Occupational Therapy Assistant | 3209 Bristol Hwy, Johnson City, TN 37601-1515 | 2017-10-17 |
| 1114452059 | Dolly Robinson | Occupational Therapy Assistant | 3209 Bristol Hwy, Johnson City, TN 37601-1515 | 2017-04-28 |
| 1720513294 | Karen Eckman | Occupational Therapy Assistant | 3209 Bristol Hwy, Johnson City, TN 37601-1515 | 2017-04-21 |
| 1598299059 | Kelsey Bowden | Occupational Therapy Assistant | 3209 Bristol Hwy, Johnson City, TN 37601-1515 | 2017-04-11 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37601 |
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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.