DEBORAH JACKSON


Address: 280 Pine Forest Dr, Lawrenceville, GA 30046-6032
Phone: 4045938502

DEBORAH JACKSON (NPI# 1780080929) 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) 1780080929
Entity Type Individual
Full Name DEBORAH JACKSON
Credential COTA/L
Practice Address 280 Pine Forest Dr
Lawrenceville
GA 30046-6032
Mailing Address 280 Pine Forest Dr
Lawrenceville
GA 30046
Practice Telephone 4045938502
Mailing Telephone 4045938502
Enumeration Date 2014-11-17
Last Update Date 2014-11-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 224Z00000X Occupational Therapy Assistant 001558 GA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers DEBORAH JACKSON

NPI Name Taxonomy Address Enumeration
1891249777 Deborah Dobey Jackson Licensed Practical Nurse 4095 Country Club Rd, Spartanburg, SC 29302-4458 2016-08-09
1144680018 Deborah Jackson Counselor 17 Hamilton Avenue, Monticello, NY 12701 2016-03-04
1336107408 Deborah A Jackson Physical Therapist 319 W Town Pl, Suite 5, St Augustine, FL 32092-3101 2006-05-01
1730738469 Deborah L Jackson Technician 1510 Fort Davis Pl Se, Washington, DC 20020-6028 2019-09-05
1174051114 Deborah Jackson Registered Nurse 405 Avenue of The States, Chester, PA 19013-4403 2017-06-02
1073057279 Deborah Jackson Nurse Practitioner 2900 E University Dr Ste 110, Auburn, AL 36830-7729 2016-12-07
1740737485 Deborah Jackson Community Health Worker 1010 Common St Ste 500, New Orleans, LA 70112-2467 2016-09-09
1316399090 Deborah Jackson Counselor 2212 Devine St Ste D, Columbia, SC 29205-2402 2016-07-06
1801254461 Deborah Jackson Community Based Residential Treatment Facility, Mental Illness 1100 W 6th Ave, Gary, IN 46402 2016-02-10
1245624535 Deborah Jackson Counselor 401 Pilgrim Ln, Drexel Hill, PA 19026-5000 2015-03-24

Office Location

Street Address 280 PINE FOREST DR
City LAWRENCEVILLE
State GA
Zip Code 30046-6032

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063023174 Alpha & Omega Hearing Centers Hearing Instrument Specialist Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 2020-08-12
1285259846 Mesun Health Services, Inc Clinical Nurse Specialist 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 2020-06-10
1215550264 Mesun Health Services, Inc Skilled Nursing Facility 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 2020-05-26
1306499785 Bryan Acosta Chiropractor 471 Scenic Hwy South, Lawrenceville, GA 30046 2019-07-24
1205308616 Belle Lumiere Cosmetics LLC Dermatology 753 Old Norcross Road, Lawrenceville, GA 30046 2018-12-24
1548730179 Alexis Nicole Robinson Nurse Anesthetist, Certified Registered 1000 Medical Center Boulevard, Lawrenceville, GA 30046 2018-11-27
1679060388 Christopher Puckett Student in an Organized Health Care Education/Training Program 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 2018-04-18
1457851255 Advanced Urology Institute of Georgia Urology 501 Crown Point Way, Lawrenceville, GA 30046 2018-02-19
1013447044 Pharmacy Investments of Lawrenceville, LLC Pharmacy 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 2017-06-13
1225577000 Priority Housecalls LLC Clinic/Center 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 2017-02-14
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Taxonomy Information

Taxonomy Code 224Z00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapy Assistant

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386285153 Rww Outpatient Rehab Services, LLC Occupational Therapy Assistant 1860 Atkinson Rd Ste 100, Lawrenceville, GA 30043-5065 2019-10-03
1740747864 Jamie Keepes Occupational Therapy Assistant 2101 James St, Lawrenceville, IL 62439-2027 2019-02-25
1548725914 Courtney M Holloway Occupational Therapy Assistant 2101 James St, Lawrenceville, IL 62439-2027 2019-02-09
1568926731 Ashley Wiseman Occupational Therapy Assistant 2101 James St, Lawrenceville, IL 62439-2027 2019-01-22
1245681576 Ashley Brittney Hagler Occupational Therapy Assistant 3100 Club Dr, Lawrenceville, GA 30044-2591 2016-06-28
1144675109 Steffini Cull Occupational Therapy Assistant 1722 Lawrenceville Plank Rd, Lawrenceville, VA 23868-3351 2016-04-27
1750753349 Janice Shelton Occupational Therapy Assistant 3100 Club Dr, Lawrenceville, GA 30044-2591 2015-10-22
1942544390 Amina Z Abdul-rashid Occupational Therapy Assistant 3100 Club Dr, Lawrenceville, GA 30044-2591 2012-11-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801403282 Kaitlyn Breese Swain Occupational Therapy Assistant 3713 Tarva Rd, Albany, GA 31721-8687 2020-09-29
1306451414 Yvonne G Forbes Occupational Therapy Assistant 3412 Conley Downs Dr, Powder Springs, GA 30127-1199 2020-09-15
1396356614 Chukwuma Jordan Okafor Occupational Therapy Assistant 3201 Windcliff Dr Se, Marietta, GA 30067-3814 2020-08-11
1861018913 Lavina Michelle Andrews Occupational Therapy Assistant 288 Osceola Trl N, Jesup, GA 31545-4853 2020-06-24
1356998769 Jaclyn Renee Mason Occupational Therapy Assistant 609 Lake Vista Dr, Jefferson, GA 30549-4606 2019-08-20
1326692658 Jacqueline Renee Rhem Occupational Therapy Assistant 1012 Enota Ave Ne, Gainesville, GA 30501-1802 2019-07-25
1437719713 Tommy Tanner Occupational Therapy Assistant 3018 Spicewood Dr, Augusta, GA 30909-6489 2019-06-18
1962061457 Stuart Paul Shaklee Occupational Therapy Assistant 1356 Redmond Road, Rome, GA 30165 2019-06-10
1508424458 Misty Myrick Copeland Occupational Therapy Assistant 318 Keen Rd, Summerville, GA 30747-6379 2019-06-04
1538726633 Daphyne Marie Ewings Occupational Therapy Assistant 4605 Gillionville Rd, Albany, GA 31721-9565 2019-05-23
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Competitor

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City LAWRENCEVILLE
Zip Code 30046

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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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