MR. CRAIG JACKSON (NPI# 1659537512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659537512 |
| Entity Type | Individual |
| Full Name | MR. CRAIG JACKSON |
| Credential | COTA/L |
| Practice Address |
2423 Castlereagh Rd Charleston SC 29414-6134 |
| Practice Telephone | 8438199470 |
| Practice Fax Number | 8772865727 |
| Mailing Telephone | 8438199470 |
| Mailing Fax Number | 8772865727 |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2008-07-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 981 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | STATE OF SC DEPT OF LABOR, LICENSING AND REGULATION BOARD OF OT | 981 | 01 |
| NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY, INC | 979693 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992926000 | Craig Lebern Jackson | Religious Nonmedical Nursing Personnel | 4297 Wyndam Hill Dr, Suwanee, GA 30024-6525 | 2007-05-02 |
| 1386030997 | Craig Jackson | Counselor | 1409 Clark St, Des Moines, IA 50314-1964 | 2015-04-09 |
| 1275962581 | Craig Jackson | Family Medicine | 1750 Thompson Rd, Coos Bay, OR 97420-2100 | 2013-11-06 |
| 1750612586 | Craig Alan Jackson | Pharmacist | 10710 W Mcdowell Rd, Avondale, AZ 85392-5958 | 2010-01-18 |
| 1235192469 | Craig W Jackson | Dentist | 25 Hospital Center Blvd, Hospital Medical Pavilion, Suite 102, Hilton Head Island, SC 29926-2738 | 2006-04-10 |
| Street Address |
2423 CASTLEREAGH RD |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29414-6134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902444508 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 3865 West Ashley Circle, Charleston, SC 29414 | 2019-12-13 |
| 1215440169 | Christine Michelle Delcioppo | Nurse Practitioner | 2085 Henry Tecklenburg Dr Fl 2or2, Charleston, SC 29414 | 2017-11-14 |
| 1871013508 | Carolyn Sorenson | Assistant Behavior Analyst | 2218 Hunter Creek Dr, Charleston, SC 29414 | 2017-06-23 |
| 1205387354 | Rachel Klatt | Physical Therapist | 2230 Ashley Crossing Dr., Charleston, SC 29414 | 2016-10-24 |
| 1295286912 | Mary M Butler | Physical Therapy Assistant | 2230 Ashley Crossing Drive, Charleston, SC 29414 | 2016-10-18 |
| 1295104982 | Charlene Barbot | Registered Nurse | 3741 Clover St, Charleston, SC 29414 | 2015-09-23 |
| 1720467525 | Sasha M. Perez | Family Medicine | 3030 Ashley Town Center Dr Ste 102a, Charleston, SC 29414 | 2015-05-26 |
| 1104226240 | Angela Mcinvale | Counselor | 3030 Ashley Town Center Dr., Bldg. B-203, Charleston, SC 29414 | 2014-08-26 |
| 1659790087 | Catherine Jefferson Vanderwerker | Physical Therapist | 3019 Saintsbury Cove Dr, Charleston, SC 29414 | 2014-04-14 |
| 1104266741 | Elizabeth A Burguieres | Psychiatry & Neurology | Scdmh- Charleston Telepsychiatry Office, 706 Orleans Rd, Charleston, SC 29414 | 2013-06-27 |
| Find all providers in zip 29414 | ||||
| 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 |
|---|---|---|---|---|
| 1396376307 | Kimberly Hope Yecke | Occupational Therapy Assistant | 672 Marina Dr Ste 104, Charleston, SC 29492-9084 | 2020-01-29 |
| 1619447596 | Sabrina Sanchez | Occupational Therapy Assistant | 1402 Camp Rd Apt 5d, Charleston, SC 29412-3711 | 2018-12-04 |
| 1821449836 | Joanna Murray | Occupational Therapy Assistant | 1110 Cainhoy Village Rd, Charleston, SC 29492-7704 | 2016-06-30 |
| 1184097644 | Anne Ravenel | Occupational Therapy Assistant | 28 Beverly Rd, Apt A, Charleston, SC 29407-7564 | 2015-11-05 |
| 1871966564 | Ashley Nicole Lester | Occupational Therapy Assistant | 1000 Association Dr., Charleston, WV 25311 | 2015-11-04 |
| 1770913865 | Hannah Mcmillan | Occupational Therapy Assistant | 1919 Charmont Dr, Charleston, AR 72933-8910 | 2013-11-26 |
| 1629412234 | Amber Marie Jarvis | Occupational Therapy Assistant | 1537 Hutton Pl, Charleston, SC 29407-3505 | 2013-04-25 |
| 1558612531 | Curtis William Huffman | Occupational Therapy Assistant | 1908 Hudson St, Charleston, WV 25302-4027 | 2012-10-01 |
| 1407113723 | Sorinity Support Services LLC | Occupational Therapy Assistant | 4000 Faber Place Dr Ste 300, Charleston, SC 29405-8587 | 2012-04-12 |
| 1457678005 | Sarah Lyn Tussey | Occupational Therapy Assistant | 1 Supthin Dr, Charleston, WV 25311 | 2010-04-22 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29414 |
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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.