MRS. PAMELA DIANNE JACKSON (NPI# 1083041123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083041123 |
| Entity Type | Individual |
| Full Name | MRS. PAMELA DIANNE JACKSON |
| Other Name | MRS. PAMELA DIANNE MITCHELL |
| Credential | OTR/L |
| Practice Address |
5400 W 87th St Burbank IL 60459-2913 |
| Mailing Address |
5400 West 87th Street Burbank IL 60459 |
| Practice Telephone | 7083466236 |
| Mailing Telephone | 7083466236 |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2013-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 056001722 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447872411 | Pamela Angela Jackson | Counselor | 3720 S Street N.w Lestine Jackson, House, Washington, DC 20007 | 2020-05-13 |
| 1013482439 | Pamela Kenna Jackson | Driver | 22 Hope Ln, Elizabethport, NJ 07206-1833 | 2018-10-12 |
| 1265948194 | Pamela Ann Jackson | Counselor | 106 S Independence St, Harrisonville, MO 64701-2348 | 2017-12-14 |
| 1629503693 | Pamela Jackson | Homemaker | 47 Sunny Ln, B, South Lebanon, OH 45065-1431 | 2017-04-26 |
| 1417320995 | Pamela Elaine Jackson | Counselor | 7200 Bancroft Ave Ste 176, Oakland, CA 94605-2411 | 2015-11-05 |
| 1134384498 | Pamela Jackson | Licensed Practical Nurse | 2273 Rolling Hills Blvd, Fairfield, OH 45014-3760 | 2008-07-25 |
| 1518141704 | Pamela L. Jackson | Counselor | 190 Marchand Dr, Apartment 1, Westover, WV 26501-3895 | 2007-12-24 |
| 1356464309 | Pamela Sue Jackson | Music Therapist | 1540 Colorado Ave, Canon City, CO 81212-4511 | 2007-04-06 |
| 1467522250 | Pamela Sue Jackson | Social Worker | 17 W Water St, Pinckneyville, IL 62274-1027 | 2006-11-08 |
| 1699851931 | Pamela Taylor Jackson | Nurse Practitioner | 226 Louisiana Ave, Opelousas, LA 70570-3346 | 2006-10-30 |
| Street Address |
5400 W 87TH ST |
| City | BURBANK |
| State | IL |
| Zip Code | 60459-2913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124048509 | Thi of Illinois At Brentwood, LLC | Skilled Nursing Facility | 5400 W 87th St, Burbank, IL 60459-2913 | 2006-07-20 |
| 1871057760 | Burbank Rehabilitation Center, LLC | Skilled Nursing Facility | 5400 W 87th St, Burbank, IL 60459-2913 | 2019-01-25 |
| 1407336480 | Tijana Antonic | Speech-Language Pathologist | 5400 W 87th St, Burbank, IL 60459-2913 | 2018-08-18 |
| 1700366952 | Julia Piech | Occupational Therapist | 5400 W 87th St, Burbank, IL 60459-2913 | 2018-08-17 |
| 1902343726 | Veracare Brentwood, LLC | Skilled Nursing Facility | 5400 W 87th St, Burbank, IL 60459-2913 | 2017-01-31 |
| 1720416787 | Brentwood Operating Company LLC | Skilled Nursing Facility | 5400 W 87th St, Burbank, IL 60459-2913 | 2013-10-29 |
| 1871930958 | Winnifer Lolita Head | Occupational Therapist | 5400 W 87th St, Burbank, IL 60459-2913 | 2013-05-29 |
| 1780927996 | Rehabcare Group East, Inc. | Skilled Nursing Facility | 5400 W 87th St, Burbank, IL 60459-2913 | 2013-04-05 |
| 1154669893 | Raye Grimes-rowe | Occupational Therapist | 5400 W 87th St, Burbank, IL 60459-2913 | 2013-01-30 |
| 1952649915 | Teresa Nicole Montes | Physical Therapist | 5400 W 87th St, Burbank, IL 60459-2913 | 2013-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619475852 | Albina Optometric | Optometrist | The Eye Care Center, Ltd, 8525 S Harlem Ave, Burbank, IL 60459 | 2018-01-23 |
| 1265943583 | Sara Christine De Van | Speech-Language Pathologist | 7600 South Mason Avenue, Burbank, IL 60459 | 2017-10-13 |
| 1710426465 | Nikki Negrete | Specialist/Technologist | 8520 S. Leclaire Ave., Burbank, IL 60459 | 2017-02-14 |
| 1700335734 | Sheefa Pharmacy Inc. | Pharmacy | 8519 S Harlem Avenue, Burbank, IL 60459 | 2016-10-03 |
| 1518325695 | Orthodontic Experts | Dentist | 7820 S. Cicero Ave, Burbank, IL 60459 | 2016-02-04 |
| 1528438306 | Lila Ayyad-alharsha | Behavioral Analyst | 6146 W. State Rd., Burbank, IL 60459 | 2015-10-06 |
| 1467852483 | Chicago Counseling & Training, Inc | Counselor | 4817 W. 83rd Street, Burbank Medical Center, Burbank, IL 60459 | 2014-08-27 |
| 1629344247 | Michael Joseph Fary | Optometrist | 7708 S Cicero Ave, Suite A5, Burbank, IL 60459 | 2012-03-28 |
| 1265732176 | Syeda Kulsoom Ali | Family Medicine | 4901 W 79th St Floor 2, Burbank, IL 60459 | 2010-10-26 |
| 1114119781 | Bonnes and Vasquez, P.C. | Social Worker | 13152 S. Cicero Ave, Pmb 260, Crestwood, IL 60459 | 2007-08-16 |
| Find all providers in zip 60459 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and 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 therapists 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, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982226841 | Deborah Jayne Hawksworth | Occupational Therapist | 1436 N Evergreen St, Burbank, CA 91505-2003 | 2020-05-14 |
| 1245881143 | Nataliya Galustyan | Occupational Therapist | 217 E Alameda Ave Ste 301, Burbank, CA 91502-2622 | 2019-09-23 |
| 1033686209 | Samantha Rose Truono | Occupational Therapist | 455 E Angeleno Ave, Burbank, CA 91501-3077 | 2018-10-25 |
| 1831643949 | Thera-bridge | Occupational Therapist | 603 E Verdugo Ave Apt J, Burbank, CA 91501-2373 | 2016-08-05 |
| 1861881864 | Sancler Andrade | Occupational Therapist | 230 N Kenwood St Apt 213, Burbank, CA 91505-3977 | 2015-01-13 |
| 1164848347 | Janae Grimshaw | Occupational Therapist | 355 N Maple St Apt 218, Burbank, CA 91505-4924 | 2014-03-11 |
| 1972801116 | Gwendolyn Olicker | Occupational Therapist | 209 S Rose St, Burbank, CA 91505-4024 | 2011-03-12 |
| 1093012643 | Ellen Katherine Bridge | Occupational Therapist | 334 South Lincoln Street, Burbank, CA 91506 | 2011-02-17 |
| 1245472075 | Amrendra Kumar | Occupational Therapist | 5625 W 79th St, Burbank, IL 60459-1349 | 2009-03-25 |
| 1912167339 | Jacqueline Leigh Thrash | Occupational Therapist | 1317 N San Fernando Blvd # 198, Burbank, CA 91504-4236 | 2008-06-10 |
| Find all providers in BURBANK | ||||
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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.