MS. ANGELA JACKSON (NPI# 1336352632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336352632 |
| Entity Type | Individual |
| Full Name | MS. ANGELA JACKSON |
| Credential | COTA |
| Practice Address |
2915 S Hazel St Pine Bluff AR 71603-5008 |
| Mailing Address |
707 Eldridge Ave E Wynne AR 72396-4032 |
| Practice Telephone | 8705350010 |
| Practice Fax Number | 8705351116 |
| Mailing Telephone | 8702088989 |
| Mailing Fax Number | 8702088107 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OTA482 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831796143 | Angela M Jackson | Massage Therapist | 8795 Ralston Rd Ste 202d, Arvada, CO 80002-2357 | 2020-10-08 |
| 1104431790 | Angela P Jackson | Technician | 5528 Meadow Passage Dr, Canal Winchester, OH 43110-8397 | 2020-09-10 |
| 1316446453 | Angela Evonne Jackson | Massage Therapist | 12336 Shady Spring Way, Orlando, FL 32828-9172 | 2018-02-05 |
| 1972029858 | Angela Jackson | Adult Companion | 2469 E Dublin Granville Rd #298155, Columbus, OH 43229 | 2017-08-22 |
| 1194267476 | Angela Decarla Jackson | Counselor | 900 S Clark St Apt 2213, Chicago, IL 60605-3708 | 2016-11-17 |
| 1013468248 | Angela Jackson | Specialist | 110 E St, Pittsfield, ME 04967-5106 | 2016-10-24 |
| 1609231000 | Angela Jackson | Specialist | 1110 N 47th St, Kansas City, KS 66102-1702 | 2015-12-29 |
| 1215329032 | Angela Yvette Jackson | Psychologist | 185 N Pearl Lake Cswy, #106, Altamonte Springs, FL 32714-2956 | 2015-03-03 |
| 1043636343 | Angela Jackson | Licensed Practical Nurse | 13 Slate Creek Dr Apt 5, Cheektowaga, NY 14227-2947 | 2014-03-11 |
| 1659619328 | Angela Wendy Jackson | Registered Nurse | 8299 Cambridge St, 1602, Houston, TX 77054-3170 | 2013-01-30 |
| Street Address |
2915 S HAZEL ST |
| City | PINE BLUFF |
| State | AR |
| Zip Code | 71603-5008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669527420 | Melinda Blackmon | Occupational Therapy Assistant | 2915 S Hazel St, Pine Bluff, AR 71603-5008 | 2007-01-24 |
| 1669600664 | Mark J Yabut | Physical Therapist | 2915 S Hazel St, Pine Bluff, AR 71603-5008 | 2009-06-29 |
| 1205064557 | Dennis L Morris | Occupational Therapist | 2915 S Hazel St, Pine Bluff, AR 71603-5008 | 2009-06-25 |
| 1730317959 | Chantale Eva Manning | Speech-Language Pathologist | 2915 S Hazel St, Pine Bluff, AR 71603-5008 | 2009-06-25 |
| 1962630186 | Sarah Wherry | Speech-Language Pathologist | 2915 S Hazel St, Pine Bluff, AR 71603-5008 | 2009-06-25 |
| 1699903948 | Janet L Holland | Occupational Therapist | 2915 S Hazel St, Pine Bluff, AR 71603-5008 | 2009-06-25 |
| 1144458407 | Michael R Olegario | Occupational Therapist | 2915 S Hazel St, Pine Bluff, AR 71603-5008 | 2009-06-25 |
| 1134376437 | Shakespeare S Nunag | Physical Therapist | 2915 S Hazel St, Pine Bluff, AR 71603-5008 | 2008-08-19 |
| 1790973378 | Leslie King | Speech-Language Pathologist | 2915 S Hazel St, Pine Bluff, AR 71603-5008 | 2007-10-09 |
| 1881807931 | Charlene Mann | Physical Therapy Assistant | 2915 S Hazel St, Pine Bluff, AR 71603-5008 | 2007-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700445038 | Hannah Carter | Dentist | 3801 S Olive St, Pine Bluff, AR 71603 | 2019-06-11 |
| 1821544628 | Nauman Yunus Md Pa | Internal Medicine | 1600 West 40th Ave, Jefferson Regional Medical Center, Pine Bluff, AR 71603 | 2016-08-31 |
| 1407278120 | Arkansas Cancer Clinic Pa | Radiology | 7200 South Hazel Street, Pine Bluff, AR 71603 | 2014-01-15 |
| 1730515396 | Sharon Yvette Webb | Student in an Organized Health Care Education/Training Program | 2318 Kyle Street, Pine Bluff, AR 71603 | 2013-09-16 |
| 1477992733 | David Larry Byrd | Pharmacist | 5 Longmeadow, Pine Bluff, AR 71603 | 2013-06-20 |
| 1437400371 | Thomas Jordan Harper | Pharmacist | 2809 South Camden Road, Pine Bluff, AR 71603 | 2012-10-01 |
| 1992080469 | C&d Disability.inc | Early Intervention Provider Agency | 4806 W 9th Street, Pine Bluff, AR 71603 | 2011-10-17 |
| 1457645863 | Clifton G Roaf & Marvin Q Caudle | Dentist | 1310 South Linden Street, Pine Bluff, AR 71603 | 2011-06-02 |
| 1932402682 | Mary Campbell | Licensed Practical Nurse | 2302 W. 28th, Suite A, Pine Bluff, AR 71603 | 2010-12-17 |
| 1245468925 | Evan N Newbolt | Ophthalmology | 3805 West 28th Ave, Pine Bluff, AR 71603 | 2009-07-01 |
| Find all providers in zip 71603 | ||||
| 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 |
|---|---|---|---|---|
| 1669527420 | Melinda Blackmon | Occupational Therapy Assistant | 2915 S Hazel St, Pine Bluff, AR 71603-5008 | 2007-01-24 |
| 1124173992 | Rachel Bradford | Occupational Therapy Assistant | 2915 S Hazel St, Pine Bluff, AR 71603-5008 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841756 | Hannah Beth Johnston | Occupational Therapy Assistant | 970 County Road 753, Jonesboro, AR 72405-0232 | 2020-11-03 |
| 1801496559 | Kynlee Madison West | Occupational Therapy Assistant | 101 N Munn St, Warren, AR 71671-2951 | 2020-10-30 |
| 1023618915 | Rachel Erin Columbus | Occupational Therapy Assistant | 8823 Barber St, Sherwood, AR 72120-2981 | 2020-10-29 |
| 1114532553 | Rachael Masters | Occupational Therapy Assistant | 115 N Fulton St, Clarksville, AR 72830-3020 | 2020-09-12 |
| 1306459888 | Katlyn Elizabeth Young | Occupational Therapy Assistant | 5532 John F Kennedy Blvd, North Little Rock, AR 72116-6708 | 2020-08-25 |
| 1588276208 | Jessica Brooke Yocum | Occupational Therapy Assistant | 3902 Sw Boulder St Apt 27, Bentonville, AR 72713-8496 | 2020-08-24 |
| 1093326068 | Bonnie Allyson Dillon | Occupational Therapy Assistant | 419 W 3rd St, Corning, AR 72422-2754 | 2020-08-13 |
| 1548870744 | Kayla Deann Pickett | Occupational Therapy Assistant | 1447 Columbia Road 29, Magnolia, AR 71753-8947 | 2020-08-03 |
| 1861001240 | Tamarah Janeice Wilson | Occupational Therapy Assistant | 619 Parkview St, Van Buren, AR 72956-2703 | 2020-07-30 |
| 1568070985 | Tarnesa Nicole Ramnarine | Occupational Therapy Assistant | 121 Little River 248, Ogden, AR 71853-9545 | 2020-07-22 |
| Find all providers with the same taxonomy | ||||
| City | PINE BLUFF |
| Zip Code | 71603 |
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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.