MR. JIMMY DEMARIO JACKSON (NPI# 1760516116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760516116 |
Entity Type | Individual |
Full Name | MR. JIMMY DEMARIO JACKSON |
Credential | OTRL |
Practice Address |
5755 Shattalon Dr Winston Salem NC 27105-1332 |
Mailing Address |
1009 File St Winston Salem NC 27101-3230 |
Practice Telephone | 3367442779 |
Mailing Telephone | 3363312946 |
Enumeration Date | 2007-03-16 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 5827 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376836957 | Jimmy A Jackson | Counselor | 221 2nd Ave Nw, Ardmore, OK 73401-6202 | 2011-05-16 |
1164449658 | Jimmy R Jackson | Nurse Anesthetist, Certified Registered | 830 South Gloster, Tupelo, MS 38801 | 2006-07-17 |
Street Address |
5755 SHATTALON DR |
City | WINSTON SALEM |
State | NC |
Zip Code | 27105-1332 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487887196 | Genesis | Skilled Nursing Facility | 5755 Shattalon Dr, Winston Salem, NC 27105-1332 | 2009-08-27 |
1699909085 | Katherine Hughes Richardson | Speech-Language Pathologist | 5755 Shattalon Dr, Winston Salem, NC 27105-1332 | 2009-05-13 |
1447405394 | Amanda L Hurley | Occupational Therapist | 5755 Shattalon Dr, Winston Salem, NC 27105-1332 | 2008-11-19 |
1629276258 | Alfred Dockery | Physical Therapy Assistant | 5755 Shattalon Dr, Winston Salem, NC 27105-1332 | 2007-07-05 |
1770607590 | Peter Andrew Smart | Physical Therapy Assistant | 5755 Shattalon Dr, Winston Salem, NC 27105-1332 | 2007-03-19 |
1174657522 | Robynn Jean Careccia | Occupational Therapist | 5755 Shattalon Dr, Winston Salem, NC 27105-1332 | 2007-03-16 |
1558495820 | Howard Spencer Coletrain | Physical Therapy Assistant | 5755 Shattalon Dr, Winston Salem, NC 27105-1332 | 2007-03-16 |
1295868404 | Melissa Elrod | Occupational Therapist | 5755 Shattalon Dr, Winston Salem, NC 27105-1332 | 2007-03-14 |
1952434128 | Ronita Vas Bhat | Physical Therapist | 5755 Shattalon Dr, Winston Salem, NC 27105-1332 | 2007-03-14 |
1043343924 | Kelli B Cross | Occupational Therapist | 5755 Shattalon Dr, Winston Salem, NC 27105-1332 | 2007-03-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346711827 | Allison Colette Steinhaus | Counselor | 8025 Northpoint Blvd, Winston Salem, NC 27105 | 2018-12-10 |
1033600382 | Alterman & Dhillon Piedmont, Pplc | Dentist | 336 E Hanes Mill Rd, Winston Salem, NC 27105 | 2018-05-22 |
1336676030 | Goldsmith Quality Care LLC. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 132 Jazer Ln, Winston Salem, NC 27105 | 2017-05-12 |
1427459981 | Tammy Bartlett | Physical Therapy Assistant | 4850 Sandusky St., Winston Salem, NC 27105 | 2014-09-15 |
1194154229 | Marla C Torrence | Counselor | 4140 N. Cherry Street, Winston Salem, NC 27105 | 2013-11-08 |
1629313051 | Lydia L. Barber | Counselor | 420 Forest Hills Ave, Winston Salem, NC 27105 | 2012-12-12 |
1023362530 | Helen Doby Martin | Home Health Aide | 4782 Butchwood Drive, Winston-salem, NC 27105 | 2012-11-06 |
1740545284 | Hines Good Samaritan Home | Technician | 2219 Manchester St., Winston-salem, NC 27105 | 2012-07-11 |
1043518129 | Alda Petra Bernardez | Pharmacist | 3539 Patterson Avenue, Winston Salem, NC 27105 | 2011-03-14 |
1225336449 | Alia Khaled Al-asfar | Pharmacist | 3539 Patterson Avenue., Winston Salem, NC 27105 | 2011-03-11 |
Find all providers in zip 27105 |
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 |
---|---|---|---|---|
1295349447 | Hope Poindexter | Occupational Therapist | 601 S Martin Luther King Jr Dr Fl 430, Winston Salem, NC 27110-0003 | 2020-09-04 |
1649884701 | Lila Grafius | Occupational Therapist | 601 Martin Luther King Dr 432 Fl Atkins Building, Winston Salem, NC 27110-0001 | 2020-09-04 |
1578177846 | Krisana Yuen | Occupational Therapist | 4960 Thales Rd Apt C, Winston Salem, NC 27104-4534 | 2020-09-03 |
1285248476 | Tiffany Imes | Occupational Therapist | 221 S Cherry St Apt 457, Winston Salem, NC 27101-5374 | 2020-09-03 |
1437763703 | Gabriel Matiah Smiley | Occupational Therapist | 160 Crowne Chase Dr Apt 6, Winston Salem, NC 27104-3585 | 2020-09-03 |
1356972632 | Rebecca Obendorf | Occupational Therapist | 661 Valley Brook Ln, Winston Salem, NC 27104-2732 | 2020-01-27 |
1811469166 | Erin Dula | Occupational Therapist | 1460 Babcock Dr, Winston Salem, NC 27106-2632 | 2018-12-27 |
1942776497 | Ashley Karoline Joyce | Occupational Therapist | 190 Moravian Way Dr, Winston Salem, NC 27106-3216 | 2018-10-22 |
1164945507 | Emily Anne Dickens | Occupational Therapist | 1199 Hayes Forest Dr # D, Winston Salem, NC 27106-3377 | 2017-07-18 |
1811427925 | Rachel Mccutcheon | Occupational Therapist | 310 W 4th St Apt 305, Winston Salem, NC 27101-2875 | 2017-06-13 |
Find all providers in WINSTON SALEM |
City | WINSTON SALEM |
Zip Code | 27105 |
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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.