MRS. LESLIE L JACKSON


Address: 9501 S King Dr, Dh 132, Chicago, IL 60628-1501
Phone: 7739952368

MRS. LESLIE L JACKSON (NPI# 1861753048) 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) 1861753048
Entity Type Individual
Full Name MRS. LESLIE L JACKSON
Credential MED, OT/L, FAOTA
Practice Address 9501 S King Dr
Dh 132
Chicago
IL 60628-1501
Practice Telephone 7739952368
Mailing Telephone 7739952368
Enumeration Date 2012-06-04
Last Update Date 2012-06-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 225X00000X Occupational Therapist 056.000012 IL Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 225XP0200X Occupational Therapist
Specialization: Pediatrics
056.000012 IL Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers LESLIE JACKSON

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1750851325 Leslie Jackson Nurse Practitioner 7106 Spencer Highway, Pasadena, TX 77505 2018-11-27
1780076745 Leslie Jackson Chore Provider 18350 Lahser Rd, Detroit, MI 48219-4326 2015-02-28
1952587271 Leslie Cecilia Jackson Psychologist 734 Kenilworth Cir, Stone Mountain, GA 30083-3416 2008-01-16
1649320904 Leslie K Jackson Family Medicine 404 E Main Cross St, Taylorville, IL 62568-2656 2007-01-11
1578171039 Leslie D'layne Jackson Social Worker 43 N Cleveland St, Memphis, TN 38104-2301 2020-07-20
1497398218 Leslie Denise Jackson Advanced Practice Midwife 1001 W Randol Mill Rd, Arlington, TX 76012-2513 2019-10-24
1699261826 Leslie Aaron Jackson Chiropractor 7125 Marvin D Love Fwy Ste 107, Dallas, TX 75237-3111 2018-07-11
1669900239 Leslie J Jackson Social Worker 650 Fulton St, Brooklyn, NY 11217-1517 2017-05-26
1083057152 Leslie Schaad Jackson Nurse Practitioner 10515 Bells Ferry Rd Ste 200, Canton, GA 30114-4204 2013-04-09
1639379530 Leslie Jackson Case Manager/Care Coordinator 2689 Sierra Hwy, Rosamond, CA 93560-6053 2007-07-19

Office Location

Street Address 9501 S KING DR
DH 132
City CHICAGO
State IL
Zip Code 60628-1501

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831119023 Angela C Riley Pharmacist 9501 S King Dr, Douglas Hall 206, Chicago, IL 60628-1501 2006-07-20
1629315510 Cindy Leslie Angeles Arocena Pharmacist 9501 S King Dr, Dh 206, Chicago, IL 60628-1501 2013-01-11
1184976623 Dalavia Edmon Pharmacist 9501 S King Dr, Chicago, IL 60628 2012-10-08
1982930020 Heather Fields Pharmacist 9501 S King Dr, Dh 206, Chicago, IL 60628-1501 2009-10-24
1477686053 Yolanda M. Hardy Pharmacist 9501 S King Dr, 206 Douglas Hall, Chicago, IL 60628-1501 2007-03-13
1508936345 Sneha Baxi Srivastava Pharmacist 9501 S King Dr, Dh 206, Chicago, IL 60628-1501 2006-11-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750857942 Myrna Pledger Counselor 259 W. 104th Pl., Chicago, IL 60628 2018-10-16
1073097184 4every1 Lab Inc. Clinical Medical Laboratory 10723 S Halsted St, Chicago, IL 60628 2018-09-24
1922594613 Northwest Adult Wellness Center LLC Clinic/Center 235 W 95th Suite 3, Chicago, IL 60628 2018-07-05
1285152801 Brittany Bellamy Developmental Therapist 10333 S Prairie, Chicago, IL 60628 2017-09-04
1598293839 Denise Marie Mercherson Social Worker 9561 S. Union, Chicago, IL 60628 2017-05-31
1659821221 Tca Health Care Dentist 1030 E. 130th St, Chicago, IL 60628 2016-10-07
1528432697 Global Dialysis, LLC Registered Nurse 9746 South Harvard Ave., Chicago, IL 60628 2015-11-30
1871966382 Kirby Rehabilitation, Inc Clinic/Center 723 W. 111th St, Chicago, IL 60628 2015-11-05
1851638605 Marketa Marvanova Pharmacist 9501 S. King Drive, Douglas Hall 203-23, Chicago State University College of Pharmacy, Chicago, IL 60628 2013-01-14
1841567377 Emma Goodman Pharmacist 10620 S. Halsted St, Chicago, IL 60628 2011-11-29
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Taxonomy Information

Taxonomy Code 225XP0200X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist
Specialization Pediatrics

Taxonomy Definition

Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities.
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Pediatric Occupational Therapist if the applicant meets the following requirements:
  • Professional degree or equivalent in occupational therapy.
  • Certified or licensed by and in good standing with an AOTA recognized credentialing or regulatory body.
  • Minimum of 5 years of practice as an occupational therapist.
  • Minimum of 5,000 hours of experience as an occupational therapist in the certification area in the last 7 calendar years.
  • Minimum of 500 hours of experience delivering occupational therapy services in the certification area to clients (individuals, groups, or populations) in the last 5 calendar years. Service delivery may be paid or voluntary.
  • Verification of employment.
AOTA Specialized Knowledge and Skills Paper: Occupational Therapy Practice in the Neonatal Intensive Care Unity (2006); AOTA Fact Sheets: Children and the Tsunami, OT for Children Birth to 3 Years of Age, OT's Role with Autism, OT in Educational Settings Under the Individuals with Disabilities Education Act, Transforming Caseload to Workload in School Based and Early Intervention OT Services, OT in Preschool Settings.

Providers in the same taxonomy and city

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1760097257 Rhr Therapies LLC Occupational Therapist 2650 N Hermitage Ave, Chicago, IL 60614-4130 2020-09-10
1750926150 Madeleine Schultz Occupational Therapist 1945 W Wilson Ave Ste 150, Chicago, IL 60640-5255 2019-11-10
1114589561 Catherine Assouline Occupational Therapist 2230 N Orchard St Apt 508, Chicago, IL 60614-3777 2019-07-07
1083279053 April Jewell Occupational Therapist 2644 W Carmen Ave, Chicago, IL 60625-2702 2019-05-06
1558835702 Emilie Elana Berman Occupational Therapist 948 W Sheridan Rd # 1d, Chicago, IL 60613-2928 2019-01-21
1689169310 Shari Brokowsky Hirsh Occupational Therapist 333 W Hubbard St Apt 322, Chicago, IL 60654-4977 2018-06-25
1083103451 Megan Marie Welch Occupational Therapist 2835 N Sheffield Ave Ste 401, Chicago, IL 60657-5084 2018-05-01
1124520614 Carolyn Chorich Occupational Therapist 3711 N Ravenswood Ave Ste 106, Chicago, IL 60613-5945 2018-03-01
1659808913 Christine Marie Hulse Occupational Therapist 5830 N Whipple St, Chicago, IL 60659-3709 2017-05-17
1750822516 Marra Isabella Robert Occupational Therapist 1118 W George St Apt 2, Chicago, IL 60657-4314 2017-03-13
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City CHICAGO
Zip Code 60628

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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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