MRS. MICHELLE W. JACKSON (NPI# 1033352323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033352323 |
| Entity Type | Individual |
| Full Name | MRS. MICHELLE W. JACKSON |
| Credential | COTA/L |
| Practice Address |
1013 Riverburch Pkwy Suite 4 Dalton GA 30721-8887 |
| Practice Telephone | 8662618090 |
| Practice Fax Number | 7062267869 |
| Mailing Telephone | 8662618090 |
| Mailing Fax Number | 7062267869 |
| Enumeration Date | 2009-04-15 |
| Last Update Date | 2009-04-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OTA000528 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104434067 | Michelle Jackson | Behavior Technician | 6961 Rooks Ct Apt 305, Frederick, MD 21703-2781 | 2020-07-16 |
| 1790347722 | Michelle Lynn Jackson | Family Medicine | 456 Circle Dr, Kewanee, IL 61443-3622 | 2019-06-29 |
| 1396301487 | Michelle Jackson | Technician | 14000 Castle Blvd Apt 703, Silver Spring, MD 20904-4640 | 2019-05-14 |
| 1184196685 | Michelle Maria Jackson | Health Educator | 220 E 89th St, Brooklyn, NY 11236-1418 | 2018-12-20 |
| 1396253258 | Michelle Laray Jackson | Counselor | 3765 Carisbrook Dr, North Las Vegas, NV 89081-6631 | 2018-01-12 |
| 1427509173 | Michelle Jackson | Behavioral Analyst | 115 Franklin St Ne Apt H21, Washington, DC 20002-1091 | 2016-10-18 |
| 1891193678 | Michelle Jackson | Occupational Therapy Assistant | 12611 Hickman Pl, Denver, CO 80239-6204 | 2014-12-10 |
| 1215338330 | Michelle Jackson | Nurse Practitioner | 115 Fields St # De, Mooresville, IN 46158-1492 | 2014-09-08 |
| 1699058008 | Michelle A Jackson | Occupational Therapist | 6045 Ashford Ln, Unit 102, Naples, FL 34110-2416 | 2011-09-21 |
| 1285923185 | Michelle Ann Jackson | Rehabilitation Practitioner | 7124 Diving Petrels Pl, 7124 Diving Petrels Pl, North Las Vegas, NV 89084-2353 | 2011-03-31 |
| Street Address |
1013 RIVERBURCH PKWY SUITE 4 |
| City | DALTON |
| State | GA |
| Zip Code | 30721-8887 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053414177 | Integra Rehabilitation Agency, LLC | Clinic/Center | 1013 Riverburch Pkwy, Suite 4, Dalton, GA 30721-8887 | 2006-09-06 |
| 1922425503 | Heather H Mcinnis | Occupational Therapist | 1013 Riverburch Pkwy, Suite 4, Dalton, GA 30721-8887 | 2014-03-21 |
| 1780028316 | Jill Kozlowski | Physical Therapist | 1013 Riverburch Pkwy, Suite 4, Dalton, GA 30721-8887 | 2013-04-25 |
| 1184977357 | Wilma Abdon Estandian | Physical Therapist | 1013 Riverburch Pkwy, Suite 4, Dalton, GA 30721-8887 | 2012-10-24 |
| 1245552413 | Lori Knight | Occupational Therapist | 1013 Riverburch Pkwy, Suite 4, Dalton, GA 30721-8887 | 2010-02-15 |
| 1578893996 | Julie Merritt | Speech-Language Pathologist | 1013 Riverburch Pkwy, Dalton, GA 30721-8887 | 2010-01-07 |
| 1043549892 | Pauline Parillo Goroza | Occupational Therapist | 1013 Riverburch Pkwy, Suite 4, Dalton, GA 30721-8887 | 2009-12-08 |
| 1225367030 | Francisco B Cuaresma Jr. | Physical Therapist | 1013 Riverburch Pkwy, Suite 4, Dalton, GA 30721-8887 | 2009-12-08 |
| 1720314297 | Jerri F Landrum | Physical Therapist | 1013 Riverburch Pkwy, Suite 4, Dalton, GA 30721-8887 | 2009-10-19 |
| 1194058982 | Katherine Fernandez | Occupational Therapist | 1013 Riverburch Pkwy, Suite 4, Dalton, GA 30721-8887 | 2009-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417322942 | Alison Gobel | Case Manager/Care Coordinator | 2611 Clevland Hwy, Dalton, GA 30721 | 2015-12-09 |
| 1528433026 | Crystal Sparks | Case Manager/Care Coordinator | 2611 Cleveland Highway, Dalton, GA 30721 | 2015-12-09 |
| 1043524838 | Quality Care Concepts, Inc. | Durable Medical Equipment & Medical Supplies | 121 Tilton Road, Dalton, GA 30721 | 2010-08-04 |
| 1538490081 | Jennifer Sawyer | Counselor | 720 S. Glenwood Ave, Ste 112, Dalton, GA 30721 | 2010-01-22 |
| 1831210673 | Linda E. Minter | Case Manager/Care Coordinator | 932 Williams Rd. Nw, Dalton, GA 30721 | 2007-04-02 |
| 1265595318 | M Edwin Caylor Dds PC | Dentist | 2880 Cleveland Hwy, Dalton, GA 30721 | 2006-12-19 |
| 1295823003 | Candler Road Dental, PC | Dentist | 2107 E. Walnut Ave., Dalton, GA 30721 | 2006-10-10 |
| 1508872466 | Family Walk-in Clinic | Family Medicine | 1100 E Walnut Avenue, Suite 14 & 15, Dalton, GA 30721 | 2006-07-31 |
| 1225056823 | James L Coone | Family Medicine | 1100 E. Walnut Avenue, Suite 14 & 15, Dalton, GA 30721 | 2006-07-18 |
| 1770517591 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 1205 N Glenwood Road, Dalton, GA 30721 | 2006-07-10 |
| Find all providers in zip 30721 | ||||
| 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 |
|---|---|---|---|---|
| 1437518883 | Megan Scharver | Occupational Therapy Assistant | 18122 Krug Rd, Dalton, OH 44618-8814 | 2016-02-14 |
| 1083171524 | Katherine M Gibson | Occupational Therapy Assistant | 1212 Broadrick Dr, Dalton, GA 30720-2503 | 2019-02-20 |
| 1205129491 | Judith Andersen | Occupational Therapy Assistant | 265 Main St, Dalton, MA 01226-1614 | 2011-05-19 |
| 1457583791 | Cecile Genevieve Deems | Occupational Therapy Assistant | 1013 Riverburch Pkwy, Suite 4, Dalton, GA 30721-8887 | 2009-08-20 |
| 1366673220 | Shonna Marie Alston | Occupational Therapy Assistant | 1013 Riverburch Pkwy, Suite 4, Dalton, GA 30721-8887 | 2009-07-27 |
| 1558597682 | Jennifer Lauren Hatcher | Occupational Therapy Assistant | 1013 Riverburch Pkwy, Suite 4, Dalton, GA 30721-8887 | 2009-06-03 |
| 1700029436 | Sheree Williams Rogers | Occupational Therapy Assistant | 1013 Riverburch Pkwy, Suite 4, Dalton, GA 30721-8887 | 2009-04-10 |
| 1467695288 | Jessica Woodard Pipkin | Occupational Therapy Assistant | 1013 Riverburch Pkwy, Suite 4, Dalton, GA 30721-8887 | 2009-04-08 |
| 1598908568 | Lindy Drew Fordham | Occupational Therapy Assistant | 1013 Riverburch Pkwy, Suite 4, Dalton, GA 30721-8887 | 2009-04-07 |
| 1679695191 | Tiffany Ann Coker | Occupational Therapy Assistant | 1225 Broadrick Dr, Dalton, GA 30720-2504 | 2007-04-04 |
| Find all providers in DALTON | ||||
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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.