Briyana Jackson, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

15540 Issued in NC

Practice address

101 N Plain Rd
Jacksonville, NC 28546-6760

Phone

(910) 298-2331

Fax

(910) 375-3031

NPI assigned

Jun 9, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advantage OT Inc.

  • Occupational Therapist
  • Beulaville, NC
  • NPI 1962717025

  NC, Occupational Therapist

  Medicare reassignment NPD
• Advantage OT, PC

  • Occupational Therapist
  • Beulaville, NC
  • NPI 1497282479
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1124757463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 STILLWATER LANDING WAY APT 207",
            "city": "SNEADS FERRY",
            "state": "NC",
            "postal_code": "284606931",
            "telephone_number": "434-579-3386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N PLAIN RD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466760",
            "telephone_number": "910-298-2331",
            "fax_number": "910-375-3031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 2nd St",
            "address_purpose": "LOCATION",
            "city": "Radford",
            "state": "VA",
            "postal_code": "241411512",
            "country_code": "US",
            "telephone_number": "434-579-3386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 E Main St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Wytheville",
            "state": "VA",
            "postal_code": "243823322",
            "country_code": "US",
            "telephone_number": "276-525-6043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "BRIYANA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "15540",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119009500",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "61687831",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Ivey, DPT
• William Nicholas Ivey
• J. Thomas Stack, PH.D., PA
• J. Wesley Parker II, DDS, PLLC
• J.Z. Mann Pediatric Therapy, Inc.
• Iyani Jackson
• Karen F Jackson
• Jacksonville Behavior and Mental Health
• Jacksonville Care LLC
• Jacksonville Children'S and Multispecialty Clinic, PA

• All providers in Jacksonville, NC
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.