MRS. CHERYL GWENDOLYN JACKSON (NPI# 1366787806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366787806 |
| Entity Type | Individual |
| Full Name | MRS. CHERYL GWENDOLYN JACKSON |
| Credential | OTR/L |
| Practice Address |
680 S 4th St Louisville KY 40202-2407 |
| Mailing Address |
398 Woodbury Bnd Beecher IL 60401-3711 |
| Practice Telephone | 5025967640 |
| Mailing Telephone | 7089461553 |
| Mailing Fax Number | 7089461676 |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2012-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 056.004726 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598052060 | Cheryl Jackson | Registered Nurse | 2001 Begole St, Flint, MI 48504-3197 | 2011-07-06 |
| 1013220268 | Cheryl Jackson | Nurse Practitioner | 5002 S Lake Houston Pkwy Ste 7, Houston, TX 77049-2631 | 2010-07-16 |
| 1285811273 | Cheryl Lynn Jackson | Spec/Tech, Cardiovascular | 20039 Oakwood Dr, Mokena, IL 60448-1397 | 2008-01-22 |
| 1548478217 | Cheryl R Jackson | Specialist/Technologist | 5243 Dalewood Dr, Cross Lanes, WV 25313-1748 | 2007-05-18 |
| 1144262288 | Cheryl A Jackson | Internal Medicine | 5901 Market St, Philadelphia, PA 19139-3117 | 2006-06-12 |
| 1831165166 | Cheryl Anne Jackson | Physician Assistant | 401 Shickshinney Lake Road, Huntington Mills, PA 18622-0046 | 2006-02-27 |
| 1467964320 | Cheryl Jackson | Counselor | 1341 N Cashua Dr, Florence, SC 29501-6939 | 2017-11-01 |
| 1851755243 | Cheryl Lynn Jackson | Occupational Therapist | 3057 Lorna Rd Ste 220, Birmingham, AL 35216-4518 | 2016-04-11 |
| 1508233081 | Cheryl Jackson | Community Health Worker | 1125 W 6th St, 103, Los Angeles, CA 90017-1833 | 2015-08-31 |
| 1043595622 | Cheryl Ann Jackson | Pharmacist | 1410 N Bluff St, Fulton, MO 65251-2350 | 2011-10-14 |
| Street Address |
680 S 4TH ST |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40202-2407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417997651 | Lori R Ross | Physical Therapist | 680 S 4th St, Louisville, KY 40202-2407 | 2006-06-07 |
| 1851912893 | Elise Meyer Ball | Dietitian, Registered | 680 S 4th St, Louisville, KY 40202-2407 | 2020-04-30 |
| 1780217273 | Healthstat Onsite Clinic Kindred | Preventive Medicine | 680 S 4th St, Louisville, KY 40202-2407 | 2020-02-13 |
| 1982188595 | Paige Huber | Occupational Therapist | 680 S 4th St, Louisville, KY 40202-2407 | 2018-09-19 |
| 1407337207 | Patricia Houlden | Occupational Therapist | 680 S 4th St, Louisville, KY 40202-2407 | 2018-08-28 |
| 1720594609 | Patricia Bauer | Occupational Therapist | 680 S 4th St, Louisville, KY 40202-2407 | 2017-12-14 |
| 1790299766 | Remsing Kimbell | Physical Therapist | 680 S 4th St, Louisville, KY 40202-2407 | 2017-11-28 |
| 1356886436 | Daylen Davis | Physical Therapy Assistant | 680 S 4th St, Louisville, KY 40202-2407 | 2016-12-28 |
| 1396110755 | Samuel Fishleder | Speech-Language Pathologist | 680 S 4th St, Louisville, KY 40202-2407 | 2015-12-09 |
| 1235503921 | Catherine Marie Strange | Occupational Therapist | 680 S 4th St, Louisville, KY 40202-2407 | 2015-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129682 | Garvit Chhabra | Student in an Organized Health Care Education/Training Program | 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 | 2020-06-18 |
| 1396367009 | Richele Williams | Student in an Organized Health Care Education/Training Program | 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 | 2020-05-15 |
| 1942822028 | Ahmed Khaled Saleh | Student in an Organized Health Care Education/Training Program | 500 S Jackson St, Room 305, Louisville, KY 40202 | 2020-05-12 |
| 1457972952 | Mir Ali Raza Talpur | Student in an Organized Health Care Education/Training Program | 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 | 2020-05-06 |
| 1316575533 | Abigail Hatfield | Student in an Organized Health Care Education/Training Program | Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 | 2020-04-01 |
| 1851929210 | Madison Harmon | Student in an Organized Health Care Education/Training Program | Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 | 2020-03-31 |
| 1184252041 | Marianna Weaver | Student in an Organized Health Care Education/Training Program | 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 | 2020-03-27 |
| 1700347341 | Charles Jake Sadle | Student in an Organized Health Care Education/Training Program | Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 | 2019-03-27 |
| 1437616794 | Paladina Health, LLC | Family Medicine | Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 | 2019-02-22 |
| 1205393568 | Paladina Health, LLC | Family Medicine | Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 | 2019-02-22 |
| Find all providers in zip 40202 | ||||
| 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 |
|---|---|---|---|---|
| 1255939468 | Amanda Anderson | Occupational Therapist | 5323 Haventree Pl, Louisville, KY 40229-2259 | 2020-10-12 |
| 1023624061 | Danette Moran | Occupational Therapist | 10503 Vista Hills Blvd, Louisville, KY 40291-4940 | 2020-09-16 |
| 1720699929 | Bridget Virginia Carrithers | Occupational Therapist | 13510 Terrace Creek Dr Apt 201, Louisville, KY 40245-5842 | 2020-08-11 |
| 1346850096 | Annie White | Occupational Therapist | 1627 Nightingale Rd, Louisville, KY 40213-1007 | 2020-08-07 |
| 1336758333 | Kristin Sha Bowen | Occupational Therapist | 11610 Apex View Dr Apt 202, Louisville, KY 40229-8308 | 2020-07-26 |
| 1356967301 | Sarah Camille Moseley | Occupational Therapist | 1924 Roanoke Ave, Louisville, KY 40205-1416 | 2020-06-24 |
| 1639701261 | Dustin Hayden | Occupational Therapist | 6005 Highplace Dr, Louisville, KY 40291-2264 | 2020-02-11 |
| 1467082792 | Megan Holderman | Occupational Therapist | 1236 Hull St, Louisville, KY 40204-1116 | 2020-01-26 |
| 1982242731 | Morgan Hudgens | Occupational Therapist | 1005 Willow Springs Dr, Louisville, KY 40242-7943 | 2019-12-11 |
| 1164067708 | Benchmark Physical Therapy of Ky LLC | Occupational Therapist | 1917 Blankenbaker Pkwy, Louisville, KY 40299-2403 | 2019-11-07 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40202 |
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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.