MARK WAYNE JACKSON (NPI# 1134755721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134755721 |
| Entity Type | Individual |
| Full Name | MARK WAYNE JACKSON |
| Practice Address |
8608 Marys Creek Dr Benbrook TX 76116-7624 |
| Practice Telephone | 8174202929 |
| Mailing Telephone | 8174202929 |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2020-03-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 108520 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811409535 | Mark Jackson | Driver | 26048 Pine Tree Rd, Rhoadesville, VA 22542-8549 | 2017-11-03 |
| 1932488194 | Mark Monroe Jackson | Social Worker | 119 Kona Dr, Galveston, TX 77554-8623 | 2011-08-05 |
| 1477860757 | Mark Allan Jackson | Technician, Other | 322 S Jefferson St, Louisa, KY 41230-1316 | 2010-09-08 |
| 1063620516 | Mark Kent Jackson | Pharmacist | 605 Hwy 31 South, Suite D, Athens, AL 35611 | 2007-05-18 |
| 1528289881 | Mark Jackson | Preventive Medicine | 10 Standing Rock Agency Avenue, Fort Yates, ND 58538 | 2007-05-02 |
| 1255470209 | Mark F Jackson | Anesthesiology | 3930 Us 1 S, Saint Augustine, FL 32086-7089 | 2007-02-06 |
| 1598788796 | Mark K Jackson | Dentist | 7007 Old Sauk Road, Madison, WI 53717 | 2006-07-26 |
| 1003877077 | Mark R. Jackson | Emergency Medicine | 1474 E Erda Way, Tooele, UT 84074-9737 | 2006-03-30 |
| 1073585238 | Mark A Jackson | Family Medicine | 1000 Pavilions Circle, Mark A Jackson Md Plc, Traverse City, MI 49684 | 2006-02-02 |
| 1023015005 | Mark D Jackson | Optometrist | 1250 E Magnolia St, Fort Collins, CO 80524-2702 | 2005-07-05 |
| Street Address |
8608 MARYS CREEK DR |
| City | BENBROOK |
| State | TX |
| Zip Code | 76116-7624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952908980 | William Michael Marshall | Pharmacist | 8600 Camp Bowie Blvd, Forth Worth, TX 76116 | 2020-10-02 |
| 1558843599 | Donnisha Bunting | In Home Supportive Care | 2901 Broadmoor, 1115, Fort Worth, TX 76116 | 2018-09-06 |
| 1588156756 | Bilal Master | Student in an Organized Health Care Education/Training Program | 3309 Riveroad Court, 2515, Ft Worth, TX 76116 | 2018-06-04 |
| 1245769728 | Randall R Williams | Physical Therapist | 6913 Camp Bowie Blvd Suite 141, Fort Worth, TX 76116 | 2017-06-08 |
| 1023543048 | 5th Avenue Grooming Lounge | Prosthetic/Orthotic Supplier | 1201 N Watson Rd., Suite 283, Arlington, TX 76116 | 2017-04-27 |
| 1831647734 | Frisco Neuro Collaborations, Pllc | Physician Assistant | 6387 Camp Bowie Blvd Ste B-640, Fort Worth, TX 76116 | 2016-09-20 |
| 1104288372 | Brown Mobile Dental Pa | Dentist | 8008 Camp Bowie W Blvd, Ste 101, Fort Worth, TX 76116 | 2016-03-25 |
| 1639553431 | Bartholomew A Akubukwe | Pharmacist | 6700 Westfree Way, Fortworth, TX 76116 | 2015-07-13 |
| 1952718868 | Brown Mobile Dental | Dentist | 8008 Camp Bowie Suite 101, Fort Worth, TX 76116 | 2014-07-14 |
| 1275949018 | Emily Sue Danner | Dentist | 6726 Camp Bowie Blvd., Fort Worth, TX 76116 | 2014-07-01 |
| Find all providers in zip 76116 | ||||
| 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 |
|---|---|---|---|---|
| 1073167474 | Lucia Rosario Solano | Occupational Therapist | 9260 Bluecrest Dr Apt 4137, Benbrook, TX 76126-3174 | 2019-07-25 |
| 1518194737 | Andrea Renee Stark | Occupational Therapist | 8313 Asta Ct, Benbrook, TX 76126-1671 | 2009-06-15 |
| 1598370900 | Dustin Lee Blevins | Occupational Therapist | 6407 Southwest Blvd, Benbrook, TX 76132-2777 | 2020-09-11 |
| 1841220068 | Cooper & Bush Physical Therapy LLC | Occupational Therapist | 6080 Southwest Blvd, Benbrook, TX 76109-3912 | 2006-07-04 |
| 1588656722 | Mary Ann Monkhouse Kleuser | Occupational Therapist | 6080 Southwest Blvd, Benbrook, TX 76109-3912 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316010 | Kayli Chiasson | Occupational Therapist | 19241 David Memorial Dr Ste 170, Shenandoah, TX 77385-8786 | 2020-11-05 |
| 1720689912 | Sara Anne Haats | Occupational Therapist | 107 S Chantsong Cir, The Woodlands, TX 77382-2606 | 2020-11-04 |
| 1568063717 | Amy Beth Hopkins Mpt PC Dba Your Personal Best Physical Therapy | Occupational Therapist | 9560 Legacy Dr Ste 210, Frisco, TX 75033-4556 | 2020-11-04 |
| 1225639479 | Amy Beth Hopkins Mpt PC Dba Your Personal Best Physical Therapy | Occupational Therapist | 8200 Preston Rd # Ate125, Plano, TX 75024-2370 | 2020-11-04 |
| 1750982922 | Kaitlyn Reithmeier | Occupational Therapist | 13001 Hymeadow Dr Unit 37, Austin, TX 78729-1778 | 2020-11-04 |
| 1043811680 | Peak Physical Therapy, LLC | Occupational Therapist | 5000 Main St Ste 316, The Colony, TX 75056-2238 | 2020-11-02 |
| 1659971208 | Bindu Susan Chacko | Occupational Therapist | 827 Spring Mist Ct, Sugar Land, TX 77479-5749 | 2020-10-31 |
| 1871193631 | Cameron Conway | Occupational Therapist | 4443 N Josey Lane, Carrolltown, TX 75010-4677 | 2020-10-29 |
| 1518567510 | Ashley Paige Montoya | Occupational Therapist | 8603 Broadway St Unit 170, Pearland, TX 77584-8171 | 2020-10-28 |
| 1699373092 | Etinosa Obadagbonyi | Occupational Therapist | 9104 Imogene St Apt E, Houston, TX 77036-7366 | 2020-10-16 |
| Find all providers with the same taxonomy | ||||
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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.