MR. TYLER BRADLEY JACKSON (NPI# 1952583528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952583528 |
| Entity Type | Individual |
| Full Name | MR. TYLER BRADLEY JACKSON |
| Credential | COTA/L |
| Practice Address |
907 N 2nd St Albemarle NC 28001-3317 |
| Mailing Address |
1 Vaille Dr Taylors SC 29687-3931 |
| Practice Telephone | 7049822273 |
| Mailing Telephone | 8642754510 |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2007-12-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 6693 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295355816 | Tyler Jackson | Emergency Medicine | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2020-04-23 |
| 1033693155 | Tyler Jackson | Social Worker | 26184 Outer Dr, Lincoln Park, MI 48146-2084 | 2018-09-25 |
| 1225518426 | Tyler Dean Jackson | Social Worker | 4455 Ne Hwy 20, Corvallis, OR 97330 | 2018-08-16 |
| 1306342084 | Tyler Jackson | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2018-04-02 |
| 1336594696 | Tyler Jackson | Specialist/Technologist | 1400 Montgomery Ave, Bryn Mawr, PA 19010-1631 | 2016-04-25 |
| 1023489796 | Tyler Jackson | Physical Therapist | 20823 Stevens Creek Blvd, Cupertino, CA 95014-2108 | 2015-10-07 |
| 1245560002 | Tyler Drew Jackson | Case Manager/Care Coordinator | 11059 E Bethany Dr Ste 200, Aurora, CO 80014-2637 | 2009-12-29 |
| Street Address |
907 N 2ND ST |
| City | ALBEMARLE |
| State | NC |
| Zip Code | 28001-3317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295710366 | Alliance Medical, Inc. | Durable Medical Equipment & Medical Supplies | 907 N 2nd St, Albemarle, NC 28001-3317 | 2005-12-13 |
| 1710358478 | Carolinas Medical Center At Home, LLC | Durable Medical Equipment & Medical Supplies | 907 N 2nd St, Suite A, Albemarle, NC 28001-3317 | 2015-10-07 |
| 1841434248 | Cynthia Henry Jarman | Orthotist | 907 N 2nd St, Albemarle, NC 28001-3317 | 2009-04-29 |
| 1376502393 | Stanlex, Inc. | Home Health | 907 N 2nd St, Albemarle, NC 28001-3317 | 2006-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649835828 | Ashley M Duncan | Physician Assistant | Atrium Stanly Emergent Department, 320 Yadkin St, Albermarle, NC 28001 | 2019-05-03 |
| 1659870616 | Crystal Hamilton | Home Health Aide | 1741 West Main Street, Albemarble, NC 28001 | 2018-02-06 |
| 1548703358 | J. Lemmons, Dds and Associates, Pa | Clinic/Center | 319 North Second Street, Albemarle, NC 28001 | 2016-11-28 |
| 1265807937 | Novant Medical Group, Inc | Orthopaedic Surgery | 1420 Us Highway 52, Suite B, Albemarle, NC 28001 | 2015-12-07 |
| 1053785220 | Novant Medical Group, Inc. | Surgery | 1420 Us Highway North 52, Suite B, Albermarle, NC 28001 | 2015-11-25 |
| 1942674775 | The Charlotte-mecklenburg Hospital Authority | Skilled Nursing Facility | 625 Bethany Road, Albemarle, NC 28001 | 2015-11-17 |
| 1508248279 | Athena Vu Dds Pllc. | Dentist | 1122 North 6th Street, Albemarle, NC 28001 | 2015-06-18 |
| 1629482054 | Erika Shew | Pharmacist | 835 North Carolina 24, Albemarle, NC 28001 | 2014-06-13 |
| 1558794974 | Ted Allen Thompson Jr. | Pharmacist | 835 Hwy 24-27, Albemarle, NC 28001 | 2013-08-21 |
| 1912349606 | Elite Care Services Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 33973 Lowder Reunion Rd, Albemarle, NC 28001 | 2013-07-23 |
| Find all providers in zip 28001 | ||||
| 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 |
|---|---|---|---|---|
| 1912366972 | Lisa Morrow | Occupational Therapy Assistant | 24881 Bost Rd, Albemarle, NC 28001-7487 | 2016-02-18 |
| 1215297254 | Lisa Shaw Lambeth | Occupational Therapy Assistant | 611 Coble Ave, Albemarle, NC 28001-5511 | 2012-05-24 |
| 1215209705 | Emily Medlin Thomas | Occupational Therapy Assistant | 25708 Preston Lane, Albemarle, NC 28001-9489 | 2012-01-31 |
| 1912101627 | Lisa Herlocker Richardson | Occupational Therapy Assistant | 33426 Old Salisbury Road, Albemarle, NC 28002 | 2007-06-14 |
| 1811598550 | Anthony M Rowell | Occupational Therapy Assistant | 620 Heathwood Dr, Albemarle, NC 28001-8604 | 2020-11-07 |
| 1538725056 | Rebecca Lowder Biby | Occupational Therapy Assistant | 620 Heathwood Dr, Albemarle, NC 28001-8604 | 2019-05-10 |
| 1760871081 | Stellah Ombaso | Occupational Therapy Assistant | 620 Heathwood Dr, Albemarle, NC 28001-8604 | 2015-01-12 |
| 1396085031 | Barbara Adele Hill | Occupational Therapy Assistant | 620 Heathwood Dr, Albemarle, NC 28001-8604 | 2013-02-17 |
| 1376888651 | Annah Furr | Occupational Therapy Assistant | 24724 S Business 52, Albemarle, NC 28001-8179 | 2012-11-28 |
| 1386989671 | Jane S. Clark | Occupational Therapy Assistant | 24724 S Business 52, Albemarle, NC 28001-8179 | 2012-11-28 |
| Find all providers in ALBEMARLE | ||||
Please comment or provide details below to improve the information on MR. TYLER BRADLEY JACKSON.
| 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.