RYAN JACKSON (NPI# 1164989257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164989257 |
| Entity Type | Individual |
| Full Name | RYAN JACKSON |
| Credential | COTA/L |
| Practice Address |
535 S Elm St Itasca IL 60143-2187 |
| Mailing Address |
19438 Elm Dr Country Club Hills IL 60478-5856 |
| Practice Telephone | 6307739416 |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2019-02-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 057005112 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194281287 | Ryan Theron Jackson | Behavior Technician | 1112 Parkway Cir N, Atlanta, GA 30340-6312 | 2019-02-14 |
| 1780665539 | Ryan Daniel Jackson | Chiropractor | 324 13th St, Franklin, PA 16323-1367 | 2005-11-09 |
| 1912566035 | Ryan R Jackson | Hearing Instrument Specialist | 92 Broadway, Denville, NJ 07834-2761 | 2019-06-12 |
| 1407318223 | Ryan C Jackson | Student in an Organized Health Care Education/Training Program | 22 S Greene St Rm N3e09, Baltimore, MD 21201-1595 | 2019-04-01 |
| 1194292060 | Ryan Jackson | Pharmacist | 960 Ross St, Heflin, AL 36264-1164 | 2018-10-30 |
| 1699153130 | Ryan Patrick Jackson | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr, Rm Hc435, Mc 5207, Stanford, CA 94305-2200 | 2015-05-18 |
| 1609216316 | Ryan L Jackson | Speech-Language Pathologist | 151 Southwest Dr, Jonesboro, AR 72401-5828 | 2013-06-26 |
| 1184060188 | Ryan Christopher Jackson | Emergency Medicine | 22 Bramhall St, Portland, ME 04102-3134 | 2013-05-16 |
| 1811125131 | Ryan Michael Jackson | Pharmacist | 2501 Cornhusker Dr, South Sioux City, NE 68776-3910 | 2009-06-25 |
| 1710114582 | Ryan Scott Jackson | Otolaryngology | 4921 Parkview Pl, Ste 11a, Saint Louis, MO 63110-1032 | 2009-06-18 |
| Street Address |
535 S ELM ST |
| City | ITASCA |
| State | IL |
| Zip Code | 60143-2187 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508163080 | Priya Josephselvam | Physical Therapist | 535 S Elm St, Itasca, IL 60143-2187 | 2011-02-18 |
| 1568086312 | Sarah Ann Shoemaker | Speech-Language Pathologist | 535 S Elm St, Itasca, IL 60143-2187 | 2020-06-07 |
| 1104294784 | Pain and Wellness Specialists Sc | Physical Medicine & Rehabilitation | 535 S Elm St, Itasca, IL 60143-2187 | 2015-09-12 |
| 1245526854 | Forest View Rehabilitation and Nursing Center | Skilled Nursing Facility | 535 S Elm St, Itasca, IL 60143-2187 | 2011-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699204164 | Naila Pervez | Developmental Therapist | 1312 Prestwick Ln, Itasca, IL 60143 | 2017-06-08 |
| 1194267013 | Phylicia Ranes | Counselor | 333 Pierce Rd, Itassca, IL 60143 | 2016-11-09 |
| 1467832766 | Emily Lefew | Counselor | 333 W Pierce Rd Ste 175, Itasca, IL 60143 | 2015-06-02 |
| 1295021269 | Chicago Autism and Behavior Specialists | Behavioral Analyst | 901 W Hawthorn Drive, Itasca, IL 60143 | 2011-06-28 |
| 1104071166 | Robert E. Scheck | Dentist | 115 W Orchard St., Itasca, IL 60143 | 2008-11-18 |
| 1831348028 | Amanda Parker | Psychologist | 901 W Hawthorn Dr, Itasca, IL 60143 | 2008-09-12 |
| 1770629289 | Sylwia Lucja Smirnow | Physical Therapist | 535 S Elm Str, Itasca, IL 60143 | 2007-01-30 |
| 1093802738 | Roy S Scheck | Family Medicine | 115 West Orchard St, Itasca, IL 60143 | 2006-10-06 |
| 1992270383 | Brooke Elizabeth Christenson | Behavior Technician | 901 W Hawthorn Drive, Itasca, ID 60143 | 2018-10-11 |
| 1477028108 | Nicole Dziekonski | Behavior Technician | 901 W Hawthorn Drive, Itasca, IL 60143 | 2018-10-09 |
| Find all providers in zip 60143 | ||||
| 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 |
|---|---|---|---|---|
| 1073870515 | Tiffany Marie Kanzler | Occupational Therapy Assistant | 805 N Walnut St, Unit 2b, Itasca, IL 60143-2884 | 2012-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356940886 | Kathleen Pumo | Occupational Therapy Assistant | 300 W 22nd St, Lombard, IL 60148-5417 | 2020-10-26 |
| 1093314593 | Melissa Eileen Suermann | Occupational Therapy Assistant | 300 S Station Rd, Glen Carbon, IL 62034-2739 | 2020-10-26 |
| 1265049746 | Lauren Bryant | Occupational Therapy Assistant | 17042 Wausau Ave, South Holland, IL 60473-3352 | 2020-09-28 |
| 1992312631 | Agnieszka Wanda Bis | Occupational Therapy Assistant | 110 W Schaumburg Rd, Streamwood, IL 60107-1459 | 2020-09-27 |
| 1093322091 | Aven Dones | Occupational Therapy Assistant | 2600 W Compass Dr, Glenview, IL 60026 | 2020-09-24 |
| 1326651894 | Laverne Reese | Occupational Therapy Assistant | 150 S Durkin Dr Apt, Springfield, IL 62704-1151 | 2020-08-25 |
| 1326650235 | Cheryl Annette Perrilles | Occupational Therapy Assistant | 5124 S Alaska Rd, Peoria, IL 61607-9541 | 2020-08-21 |
| 1003426487 | Allyx Underwood | Occupational Therapy Assistant | 111 S Homer St, Princeton, IL 61356-1850 | 2020-07-31 |
| 1023635364 | Crystal Mary Dirks | Occupational Therapy Assistant | 211 75th St, Burr Ridge, IL 60527 | 2020-07-02 |
| 1508483991 | Latika Kemp | Occupational Therapy Assistant | 7246 S. King Dr., Chicago, IL 60619-1726 | 2020-07-01 |
| Find all providers with the same taxonomy | ||||
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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.