CORINNE JACKSON (NPI# 1992278501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992278501 |
| Entity Type | Individual |
| Full Name | CORINNE JACKSON |
| Credential | COTA |
| Practice Address |
North Pavilion Place Penney Farms FL 32043 |
| Mailing Address |
3609 Park St Jacksonville FL 32205-8335 |
| Practice Telephone | 9044007016 |
| Mailing Telephone | 9047427023 |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2019-01-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053502187 | Corinne Sokolik Jackson | Emergency Medicine | 655 W 8th St, Jacksonville, FL 32209-6511 | 2007-08-05 |
| Street Address |
NORTH PAVILION PLACE |
| City | PENNEY FARMS |
| State | FL |
| Zip Code | 32043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245863414 | Marica Thomas | Family Medicine | 476 Houston St, Green Cove Springs, FL 32043 | 2020-02-17 |
| 1184129744 | Gianina Romito | Speech-Language Pathologist | Gov. Creek Health and Rehab, 803 Oak Street, Green Cove Springs, FL 32043 | 2018-03-27 |
| 1992157549 | Blake Wells | Physical Therapy Assistant | 803 Oak Street, Green Cove Springs, FL 32043 | 2016-07-07 |
| 1831443290 | Barbara J Mcdougall, Psyd, Pa | Psychologist | 623 Oak Street, Green Cove Springs, FL 32043 | 2012-11-06 |
| 1124376629 | William P Yapp Dc Pa | Chiropractor | 1212 Idlewild Ave. (hwy 16w), Green Cove Springs, FL 32043 | 2012-08-15 |
| 1053551481 | Angela Carol Bramlitt | Registered Nurse | 311 Morris Avenue, Green Cove Springs, FL 32043 | 2009-02-25 |
| 1760602718 | John Michael Aimino | Optometrist | 2364 Jennie Lane, Green Cove Springs, FL 32043 | 2007-05-01 |
| 1386763779 | Mayhugh Drugs Inc | Pharmacy | 200 B South Orange Ave, Green Cove Springs, FL 32043 | 2007-03-28 |
| 1598037988 | Kristi Resse Williams | Occupational Therapist | 803 Oak St, Green Cove Springs, FL 32043 | 2012-02-01 |
| 1073519518 | Lily Sausa Rocha | Family Medicine | Po Box 578, Green Cove Springs, FL 32043-0578 | 2005-06-21 |
| Find all providers in zip 32043 | ||||
| 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 |
|---|---|---|---|---|
| 1215551098 | Kristina Ketterer | Occupational Therapy Assistant | 3 North Pavilion Place, Penney Farms, FL 32079 | 2020-06-08 |
| 1083182141 | Tonyo Lorenzo Sylvester | Occupational Therapy Assistant | 3 North Pavillion Place, Penney Farms, FL 32079 | 2018-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407760 | Thalia Mercedes Romero | Occupational Therapy Assistant | 2040 Sr-a1a, Unit 203, Indian Harbour Beach, FL 32937 | 2020-11-06 |
| 1720689557 | Chelsie Briana Caudill | Occupational Therapy Assistant | 150 Woodland Dr, Santa Rosa Beach, FL 32459-4412 | 2020-11-06 |
| 1720688252 | Elizabeth Lawler | Occupational Therapy Assistant | 11804 Old Course Rd, Cantonment, FL 32533-4881 | 2020-10-26 |
| 1104425677 | Aiza Dela Cruz Clyde | Occupational Therapy Assistant | 121 Sw 96th Ter Apt 205, Plantation, FL 33324-2325 | 2020-10-25 |
| 1720687296 | Reginal Louissaint | Occupational Therapy Assistant | 20720 Nw 7th Ave Apt 304, Miami Gardens, FL 33169-7015 | 2020-10-25 |
| 1164020095 | Lisa M Harrison | Occupational Therapy Assistant | 83 Pepperdine Dr, Palm Coast, FL 32164-7498 | 2020-10-13 |
| 1902404130 | Joseph Spyros | Occupational Therapy Assistant | 9808 Quadrangle Ct, Ruskin, FL 33573-1204 | 2020-10-09 |
| 1811594534 | Eliette Junco | Occupational Therapy Assistant | 335 Nw 58th Ave, Miami, FL 33126-4723 | 2020-10-06 |
| 1205433133 | Valentina Della Volpe | Occupational Therapy Assistant | 6221 Willow Beck Ln Apt 104, Bradenton, FL 34202-5248 | 2020-10-05 |
| 1053918052 | Yuliet Armas | Occupational Therapy Assistant | 941 E 37th St, Hialeah, FL 33013-2824 | 2020-10-03 |
| Find all providers with the same taxonomy | ||||
| City | PENNEY FARMS |
| Zip Code | 32043 |
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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.