DELORES JEAN JACKSON


Address: 10300 Southwest Highway, Chicago Ridge, IL 60415
Phone: 7084251100

DELORES JEAN JACKSON (NPI# 1780958603) 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) 1780958603
Entity Type Individual
Full Name DELORES JEAN JACKSON
Credential COTA
Practice Address 10300 Southwest Highway
Chicago Ridge
IL 60415
Mailing Address 15244 Grant St
Dolton
IL 60419
Practice Telephone 7084251100
Practice Fax Number 7084250209
Enumeration Date 2012-02-24
Last Update Date 2012-02-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 224Z00000X Occupational Therapy Assistant 057000853 IL Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers DELORES JACKSON

NPI Name Taxonomy Address Enumeration
1497041669 Delores Jackson Social Worker 2121 Sw 36th St, San Antonio, TX 78237-3360 2011-06-24

Office Location

Street Address 10300 SOUTHWEST HIGHWAY
City CHICAGO RIDGE
State IL
Zip Code 60415

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396233854 All American Physical Therapy P.C. Clinic/Center 9830 Ridgeland Ave Ste 3a, Chicago Ridge, IL 60415 2018-04-30
1841711561 Limitless Transportation of Illinois Non-emergency Medical Transport (VAN) 6726 107th St Unit 2c, Chicago Ridge, IL 60415 2017-07-03
1376927293 Fariha Querishi Dentist 6501 W 95th Street, Chicago Ridge, IL 60415 2015-07-10
1376855395 Aa1 Medicar Transpotation Inc Non-emergency Medical Transport (VAN) 10624 S Major St 2n, Chicago Ridge, IL 60415 2010-07-07
1952591448 Orion Diagnostic & Chiropractic Center Chiropractor 9830 S. Ridgeland Ave, Suite # 5, Chicago Ridge, IL 60415 2007-07-31
1518006808 Christopher John Green Dentist 6422 W 107th St, Chicago Ridge, IL 60415 2007-02-05
1376697383 Luxottica Retail North America, Inc Eyewear Supplier (Equipment, not the service) 320 Chicago Ridge Mall # C15, Chicago Ridge, IL 60415 2007-01-23
1144372194 Ikechukwu Oguejiofor Urology 10400 S0uthwest Highway, Chicago Ridge, IL 60415 2007-01-18
1306909148 Edward Philip Mann Ophthalmology 5850 W 111th St, Chicago Ridge, IL 60415 2006-12-19
1508926601 Thomas Joseph Dunn Dentist G305 W 95th Street, Oak Lawn, IL 60415 2006-12-11
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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
1164953659 Aidan Martin Brodie Occupational Therapy Assistant 10325 Kerry Ridge Ct, Chicago Ridge, IL 60415-2390 2017-03-25
1871801555 Maxine Dianna Wilson Occupational Therapy Assistant 10300 South West Highway Lexington, Chicago Ridge, IL 60615 2010-09-16
1891113445 Marcyanna Lovig Occupational Therapy Assistant 10300 Southwest Hwy, Chicago Ridge, IL 60415-1426 2014-04-01
1366860017 Rose Pittelli Occupational Therapy Assistant 10300 Southwest Hwy, Chicago Ridge, IL 60415-1426 2014-03-31
1124397922 Sharon Lynn Dolatowski Occupational Therapy Assistant 10300 Southwest Hwy, Chicago Ridge, IL 60415-1426 2011-12-22
1568731388 Paul Robert Boone Occupational Therapy Assistant 10300 Southwest Hwy, Chicago Ridge, IL 60415-1426 2011-12-22

Providers in the same taxonomy and state

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
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Competitor

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City CHICAGO RIDGE
Zip Code 60415

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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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