MISS KELLY A JACKSON


Address: 178 Manila Ave, Staten Island, NY 10306-5608
Phone: 7186674703

MISS KELLY A JACKSON (NPI# 1477896876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477896876
Entity Type Individual
Full Name MISS KELLY A JACKSON
Credential OTR/L
Practice Address 178 Manila Ave
Staten Island
NY 10306-5608
Practice Telephone 7186674703
Mailing Telephone 7186674703
Enumeration Date 2013-04-03
Last Update Date 2013-04-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225X00000X Occupational Therapist 017963 NY Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers KELLY JACKSON

NPI Name Taxonomy Address Enumeration
1588036263 Kelly Jackson Social Worker 2937 Ne 16th Ter, Gainesville, FL 32609-3234 2015-10-21
1104986793 Kelly A Jackson Chiropractor 190 North Main Street, Natick, MA 01760 2006-12-12
1518982487 Kelly Donald Jackson Dentist 3023 Eastland Blvd Ste 112, Clearwater, FL 33761-4106 2006-07-13
1689273310 Kelly Jackson Behavior Technician 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5312 2020-10-23
1629544655 Kelly Colleen Jackson Counselor 811 Madison St, Everett, WA 98203-4543 2018-10-17
1619457926 Kelly Jackson Physician Assistant 12300 Mccracken Rd, Garfield Heights, OH 44125-2975 2018-08-16
1760961833 Kelly D Jackson Licensed Practical Nurse 602 W Semands St, Conroe, TX 77301-1867 2018-08-09
1841780178 Kelly Amanda Jackson Nurse Practitioner 1700 Medical Center Pkwy, Murfreesboro, TN 37129-2245 2018-05-11
1033653431 Kelly Jackson Nurse Practitioner 606 W Columbia St, San Augustine, TX 75972-1709 2016-12-05
1497108310 Kelly Jackson Massage Therapist 1325 San Marco Blvd, Suite 102, Jacksonville, FL 32207-8568 2016-07-15

Office Location

Street Address 178 MANILA AVE
City STATEN ISLAND
State NY
Zip Code 10306-5608

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134737372 Nancy Burns Counselor 345 Guyon Ave # 14, Staten Island, NY 10306 2020-07-14
1710537642 Happy Island Senior Center LLC Clinic/Center 555 Greeley Ave, Staten Island, NY 10306 2019-09-12
1215580055 Keann Pender Counselor 345 Guyon Ave Rm 14, Staten Island, NY 10306 2019-07-22
1346751435 Amanda Nicole Lewis Speech-Language Pathologist 465 New Dorp Lane, The Richard H. Hungerford School, Staten Island, NY 10306 2017-10-17
1649793142 Olympia Services Inc Radiology 1913 Olympia Blvd., Staten Island, NY 10306 2017-07-18
1265961601 A & S Educational Technology Inc. Early Intervention Provider Agency 99 Sydney Pl, Staten Island, NY 10306 2017-06-08
1124489638 Prospect Kids, LLC Early Intervention Provider Agency 21 Kayla Court, Staten Island, NY 10306 2016-03-10
1124498407 Tatyana Kateva Registered Nurse 1975 Hylan Blvd Suite 1, Staten Island, NY 10306 2015-09-30
1336536275 Natallia Verbitsky Occupational Therapist 165 Twombly Ave, Staten Island, NY 10306 2015-04-17
1922491745 Evan Ross Cohen Dentist 1975 Hylan Blvd., Unit #2, Hylan Dental Arts, Staten Island, NY 10306 2015-03-18
Find all providers in zip 10306

Taxonomy Information

Taxonomy Code 225X00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588263065 Katherine Ann Gaeta Occupational Therapist 600 Woodrow Rd, Staten Island, NY 10312-1230 2020-10-26
1487268819 Nicolette Marie Longo Occupational Therapist 77 Van Brunt St, Staten Island, NY 10312-3727 2020-09-02
1649817032 Miguel F Noble Jr. Occupational Therapist 16 Arlene St, Staten Island, NY 10314-2702 2019-12-04
1790321024 Gabriella Bottalico Occupational Therapist 17 Thornycroft Ave, Staten Island, NY 10312-6520 2019-11-21
1245875954 Jazmin Rachel Ramirez Occupational Therapist 628 Oakland Ave, Staten Island, NY 10310-2931 2019-11-18
1508400615 Ashley Liberman Occupational Therapist 265 Kramer Ave, Staten Island, NY 10309-4226 2019-10-31
1649829342 Stephanie Spinosa Occupational Therapist 7754 Amboy Rd, Staten Island, NY 10307-1436 2019-09-05
1407403876 Shannen Rogozin Occupational Therapist 85 Macon Ave, Staten Island, NY 10312 2019-08-21
1801448683 Eva Kory Occupational Therapist 167 Parkview Loop, Staten Island, NY 10314-1668 2019-07-12
1770140261 Alexandra Nicole Avarino Occupational Therapist 246 Greencroft Ave, Staten Island, NY 10308-3247 2019-05-21
Find all providers in STATEN ISLAND

Competitor

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City STATEN ISLAND
Zip Code 10306

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Dataset Information

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.

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