SHIRLEY JACKSON (NPI# 1073915559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073915559 |
| Entity Type | Individual |
| Full Name | SHIRLEY JACKSON |
| Practice Address |
170 Village Court Martinsville VA 24112 |
| Mailing Address |
Po Box 5081 Martinsville VA 24115-5081 |
| Practice Telephone | 2763405158 |
| Mailing Telephone | 2763405158 |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2014-09-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 0131000169 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538218292 | Shirley Jean Jackson | Registered Nurse | 21 North Atwood Ave, Janesville, WI 53648 | 2007-01-10 |
| 1790343507 | Shirley Jackson | Counselor | 245 11th St, San Francisco, CA 94103-3732 | 2019-06-05 |
| 1558806687 | Shirley Jackson | Substance Abuse Rehabilitation Facility | 2151 Rush Blvd, Youngstown, OH 44507-1535 | 2016-12-28 |
| 1144689936 | Shirley Jackson | Licensed Vocational Nurse | 9808 Venice Blvd, Ste. 505, Culver City, CA 90232-2732 | 2016-02-22 |
| 1982943486 | Shirley Jackson | Registered Nurse | 7600 Geogia Ave, Suite 323, Washington, DC 20012 | 2013-02-05 |
| 1396926499 | Shirley Jackson | Counselor | 3625 14th St, Riverside, CA 92501-3815 | 2007-11-16 |
| 1407947484 | Shirley A Jackson | Counselor | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2006-09-27 |
| Street Address |
170 VILLAGE COURT |
| City | MARTINSVILLE |
| State | VA |
| Zip Code | 24112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205327038 | Martinsville Transit, LLC | Taxi | 807 Barrows Mill Rd Apt E, Martinsville, VA 24112 | 2018-05-29 |
| 1699279422 | Terry Michelle Hamdy | Nurse Practitioner | 110 Commonwealth Blvd, Martinsville, VA 24112 | 2018-03-19 |
| 1780184523 | Susan Fullerton | Speech-Language Pathologist | 288 Lancer Lane, Martinsville, VA 24112 | 2018-02-19 |
| 1164920062 | Aesthetic & Family Dental of Martinsville PC | Dentist | 5 Dudley Street, Martinsville, VA 24112 | 2018-01-25 |
| 1124537410 | Hamdy Medical Center, PC | Clinic/Center | 110 W Commonwealth Blvd, Martinsville, VA 24112 | 2017-09-29 |
| 1588180483 | Olton Swanson | Driver | 1440 Rivermount Heights, Martinsville, VA 24112 | 2017-08-22 |
| 1639610686 | Stephanie Hairston | Non-emergency Medical Transport (VAN) | 912 Brookdale St, Ste 1, Martinsville, VA 24112 | 2017-03-10 |
| 1194182790 | Jns Home Healthcare Services | In Home Supportive Care | 708 Berkshire Place, Martinsville, VA 24112 | 2016-01-27 |
| 1033506654 | Caring Hearts Counseling LLC | Community/Behavioral Health | 624 East Church, Suite B, Martinsville, VA 24112 | 2015-04-21 |
| 1275976326 | Sheree L. Dandridge | Prosthetist | 538 S Memorial Blvd., Martinsville, VA 24112 | 2013-04-08 |
| Find all providers in zip 24112 | ||||
| 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 |
|---|---|---|---|---|
| 1659665115 | June Wingfield | Occupational Therapy Assistant | 1000 Windy Ridge Rd, Martinsville, VA 24112-7932 | 2011-06-01 |
| 1457653297 | Kristen Dionne Hunt | Occupational Therapy Assistant | 706 Morrison St, Martinsville, VA 24112-5204 | 2010-11-30 |
| 1790976611 | Valerie Gail Blanton | Occupational Therapy Assistant | 1188 Dyer Store Rd, Martinsville, VA 24112-7821 | 2007-08-06 |
| 1851516355 | Candice Rothenbuhler | Occupational Therapy Assistant | 7435 Old State Road 67 N, Martinsville, IN 46151-9359 | 2007-04-17 |
| 1144290040 | Angela Denise Harder | Occupational Therapy Assistant | 359 E Morgan Street, Martinsville, IN 46151 | 2006-01-24 |
| 1003394867 | Katelin B Clifton | Occupational Therapy Assistant | 101 Cleveland Ave Ste D, Martinsville, VA 24112 | 2018-08-03 |
| 1073037529 | Robert Shane Cooper | Occupational Therapy Assistant | 300 Blue Ridge St, Martinsville, VA 24112-7261 | 2017-07-26 |
| 1376083584 | Renae Ankeny | Occupational Therapy Assistant | 812 E Church St, Martinsville, VA 24112-3109 | 2017-03-07 |
| 1528500873 | April Lee Robertson | Occupational Therapy Assistant | 101 Wood St, Apt C1, Martinsville, VA 24112-1534 | 2016-11-16 |
| 1235452350 | Katrinea Lerrie Smith | Occupational Therapy Assistant | 300 Blue Ridge St, Martinsville, VA 24112-7261 | 2010-03-03 |
| Find all providers in MARTINSVILLE | ||||
| City | MARTINSVILLE |
| Zip Code | 24112 |
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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.