ERICA LAKISHA JACKSON


Address: 212 Fairview Park Dr, Dublin, GA 31021-2547
Phone: 4782759888

ERICA LAKISHA JACKSON (NPI# 1710596978) 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) 1710596978
Entity Type Individual
Full Name ERICA LAKISHA JACKSON
Credential OTR/L
Practice Address 212 Fairview Park Dr
Dublin
GA 31021-2547
Mailing Address 129 Woodland Heights Rd
Dublin
GA 31021-0471
Practice Telephone 4782759888
Mailing Telephone 6786974669
Enumeration Date 2020-07-23
Last Update Date 2020-07-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225X00000X Occupational Therapist OT005607 GA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers ERICA JACKSON

NPI Name Taxonomy Address Enumeration
1174179980 Erica R Jackson Technician 11355 Desmond St, Garden Grove, CA 92841 2019-08-16
1528672680 Erica Paige Jackson Pharmacist 250 Mount Lebanon Blvd, Pittsburgh, PA 15234-1252 2020-09-04
1679122824 Erica Lynn Jackson Physical Therapist 15825 Ballantyne Medical Pl Ste 120, Charlotte, NC 28277-4790 2019-09-10
1558916577 Erica Jackson Driver 861 Corporate Dr Ste 101, Lexington, KY 40503-5461 2019-08-06
1912471442 Erica Chavez Jackson Case Manager/Care Coordinator 6666 Green Valley Cir, Culver City, CA 90230-7068 2019-01-17
1699245571 Erica Jackson Case Manager/Care Coordinator 1055 S Houston Ave, Tulsa, OK 74127-9043 2018-12-04
1245725050 Erica L Jackson Behavior Technician 1800 W Big Beaver Rd, Troy, MI 48084-3545 2018-06-25
1518384817 Erica Marie Jackson Specialist 814 Shanahan Rd Ste 100, Lewis Center, OH 43035-9192 2014-03-25
1962639070 Erica Lynnette Jackson Counselor 1371 Highway 278 W, Monticello, AR 71655-9663 2009-06-16
1437393345 Erica Christian Jackson Speech-Language Pathologist 2730 Isabella Blvd, Suite 10, Jacksonville Beach, FL 32250-8001 2009-04-22

Office Location

Street Address 212 FAIRVIEW PARK DR
City DUBLIN
State GA
Zip Code 31021-2547

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497213748 Ronald E. Johnson Peer Specialist Carl Vinson Va Medical Center, 1826 Veterans Blvd., Dublin, GA 31021 2019-03-06
1902384811 Nieka Jackson Pharmacist 75 Woodlawn Dr, Apt. C-1, Dublin, GA 31021 2018-08-02
1407341522 Empower Psychiatry & Weight Loss, LLC Nurse Practitioner 112 Rowe St Ste B, Dublin, GA 31021 2018-06-30
1619462207 Kara Emily Frost Speech-Language Pathologist 1406 Bellevue Rd, Dublin, GA 31021 2018-06-26
1376035410 Owens Speech Services, LLC Speech-Language Pathologist 401 Barfield Court, Dublin, GA 31021 2018-06-05
1558878884 Tattnall Hospital Company, LLC Neurological Surgery 242 Industrial Blvd, Dublin, GA 31021 2018-01-09
1376991000 Eatonton Facility Development Company, LLC Hospice, Inpatient 155 Greensboro Rd, Eatonton, GA 31021 2016-06-03
1801261177 Jones Community Health Center, LLC Clinic/Center 115 Shadow Pond, Dublin, GA 31021 2015-12-11
1508237561 Cancer Center of Middle Georgia Specialist 26 Erin Office Park, Dublin, GA 31021 2015-10-15
1922477249 Mickey Jackson Non-emergency Medical Transport (VAN) 610 John Robinson Tl., Dublin, GA 31021 2015-09-16
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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
1629603824 Autumn D. Snider Occupational Therapist 6071 Hillcrest Pl, Dublin, VA 24084-2047 2020-03-08
1902431364 Shuyi Chen Occupational Therapist 5539 Russell Fork Dr, Dublin, OH 43016-8326 2020-03-06
1881230944 Independent Physical Therapy of Ga LLC Occupational Therapist 1817 Rice Ave Ste C, Dublin, GA 31021-3697 2019-11-25
1669955902 Tamara Moss Occupational Therapist 10516 Sawmill Road, Suite B, Dublin, OH 43017 2018-09-12
1336658830 Julia Mindlina Occupational Therapist 7464 Wellington Reserve Ct, Dublin, OH 43017-1279 2017-09-27
1578002465 Carole Navarro Occupational Therapist 4900 Brandonway Dr, Dublin, OH 43017-8418 2017-02-13
1174070148 Anna Webber Occupational Therapist 4027 Carlow Ct, 4027 Carlow Court, Dublin, OH 43016-7700 2016-09-07
1346795622 Ryan Roger Ramos Occupational Therapist 5300 Iron Horse Pkwy Apt 536, Dublin, CA 94568-7003 2016-08-16
1689026833 Hillary A Hayford Occupational Therapist 2976 Stillmeadow Dr, Dublin, OH 43017-1753 2016-07-11
1891150520 Shannon Setliff Occupational Therapist 6225 Stone Ridge Dr, Dublin, VA 24084-2162 2015-12-22
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Competitor

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City DUBLIN
Zip Code 31021

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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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