BRIAN JACKSON (NPI# 1245629583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245629583 |
| Entity Type | Individual |
| Full Name | BRIAN JACKSON |
| Practice Address |
1651 Richfield Rd Highland Park IL 60035-2950 |
| Practice Telephone | 8477488954 |
| Practice Fax Number | 8477488782 |
| Mailing Telephone | 8477488954 |
| Mailing Fax Number | 8477488782 |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2015-01-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 056010871 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083198659 | Brian John Jackson | Physician Assistant | 391 Lee Blvd Ste 300, Lehigh Acres, FL 33936-4973 | 2018-09-19 |
| 1316482425 | Brian Keith Jackson | Community Health Worker | 3714 Ruffin Rd, North Prince George, VA 23860-8629 | 2016-12-28 |
| 1346610011 | Brian Jackson | Counselor | 3008 Conmar St, Shreveport, LA 71108 | 2015-10-06 |
| 1255421855 | Brian R Jackson | Pathology | 500 E Chipeta Way, Salt Lake City, UT 84108-1221 | 2006-10-13 |
| 1467497461 | Brian D Jackson | Allergy & Immunology | 151 Harmony Park Circle, Hot Springs, AR 71913 | 2006-06-17 |
| 1689665408 | Brian E Jackson | Dentist | 2775 Bishop Rd, Suite C, Willoughby Hills, OH 44092-2683 | 2005-11-01 |
| 1306842356 | Brian D Jackson | Podiatrist | 1215 Hatcher Ln, Columbia, TN 38401-3531 | 2005-06-23 |
| 1477150738 | Brian Leslie Jackson | Registered Nurse | 2751 Napa Valley Corporate Dr Bldg B, Napa, CA 94558-6216 | 2020-10-08 |
| 1558973115 | Brian Lee Jackson | Pharmacist | 5780 Terry Rd, Byram, MS 39272-9745 | 2020-08-17 |
| 1174080030 | Brian Jeffry Jackson | Nurse Practitioner | 2075 San Joaquin Hills Rd, Newport Beach, CA 92660-6505 | 2019-02-27 |
| Street Address |
1651 RICHFIELD RD |
| City | HIGHLAND PARK |
| State | IL |
| Zip Code | 60035-2950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386067767 | Melinda Dunn | Speech-Language Pathologist | 1651 Richfield Rd, Highland Park, IL 60035-2950 | 2014-01-21 |
| 1821651159 | Amanda Valenzuela | Occupational Therapist | 1651 Richfield Rd, Highland Park, IL 60035-2950 | 2019-04-22 |
| 1164981460 | Catherine Anne Brait | Physical Therapist | 1651 Richfield Rd, Highland Park, IL 60035-2950 | 2019-03-16 |
| 1760847636 | Gerald Walter Hay | Occupational Therapy Assistant | 1651 Richfield Rd, Highland Park, IL 60035-2950 | 2015-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140006 | Julian Jay Freeman | Internal Medicine | 1954 1st St., Suite 263, Highland Park, IL 60035 | 2019-05-22 |
| 1851838858 | Melissa Block | Lactation Consultant, Non-RN | 303 Sheridan Road, Highland Park, IL 60035 | 2017-01-27 |
| 1750838280 | Megan Hyatt | Physical Therapist | Central Parkway, Store #210, Highland Park, IL 60035 | 2016-09-01 |
| 1962865907 | Timothy C Dennis | Counselor | 1724 1st St., Nicasa, Highland Park, IL 60035 | 2016-03-29 |
| 1821458027 | Sarah Marie Pinger | Counselor | 1724 1st Street, Highland Park, IL 60035 | 2016-03-01 |
| 1508262775 | Jennifer Francis Gilbert | Social Worker | 1067 Centerfield Court, Highland Park, IL 60035 | 2014-11-14 |
| 1588070148 | Hpoms | Clinic/Center | 1893 Sheridan Rd Suite 311, Highland Park, IL 60035 | 2014-07-03 |
| 1477974152 | Mtca Psychological Services of Illinois P.C. | Psychologist | 1651 Richfield Avenue, Highland Park, IL 60035 | 2013-12-23 |
| 1760819510 | Linda Beth Greco | Social Worker | 274 Linden Park Place, Highland Park, IL 60035 | 2013-10-10 |
| 1770821373 | Eve Cooper Agin | Counselor | 1866 Sheridan Road, Suite 203, Highland Park, IL 60035 | 2013-01-17 |
| Find all providers in zip 60035 | ||||
| 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 |
|---|---|---|---|---|
| 1437644622 | Gabriel Haller | Occupational Therapist | 30 S Adelaide Ave Apt 2m, Highland Park, NJ 08904-1661 | 2018-06-29 |
| 1457899270 | Terry Chazan Rothberg | Occupational Therapist | 5 Parkview Ter, Highland Park, NJ 08904-2650 | 2017-02-01 |
| 1710423744 | Elizabeth Jessica Hirsch | Occupational Therapist | 1451 Ferndale Ave, Highland Park, IL 60035-2811 | 2017-01-14 |
| 1235431644 | Yehuda Rappaport | Occupational Therapist | 112 Barnard St, Highland Park, NJ 08904-3510 | 2010-11-18 |
| 1497992283 | Rosalyn A. Gillman | Occupational Therapist | 1265 Sheridan Rd., Highland Park, IL 60035 | 2009-01-15 |
| 1710130497 | Marsha Eiserman | Occupational Therapist | 154 N 10th Ave, Highland Park, NJ 08904-3632 | 2008-10-28 |
| 1790897718 | Joyce Ann | Occupational Therapist | 1454 Ridge Rd, Highland Park, IL 60035-2734 | 2006-08-31 |
| 1891806584 | Rehabilitation Associates,ltd | Occupational Therapist | 1268 Sheridan Rd, Highland Park, IL 60035-4120 | 2006-08-31 |
| 1508471467 | Maxwell Infanti | Occupational Therapist | 1919 Skokie Valley Rd, Highland Park, IL 60035-2361 | 2020-09-08 |
| 1740832435 | Deena Klavan | Occupational Therapist | 27 S 5th Ave, Highland Park, NJ 08904-2604 | 2019-07-12 |
| Find all providers in HIGHLAND PARK | ||||
| City | HIGHLAND PARK |
| Zip Code | 60035 |
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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.