Sara E. Jackson, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2767 Issued in OK

Practice address

1805 N York St Ste H
Muskogee, OK 74403-1442

Phone

(918) 912-2796

Fax

(918) 513-5808

NPI assigned

Sep 17, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• 40:31 Rehab & Wellness, PLLC.

  • Occupational Therapist
  • Muskogee, OK
  • NPI 1578081634
  NPD (past)

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

{
    "created_epoch": "1758067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1134090590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 N YORK ST STE H",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744031442",
            "telephone_number": "918-912-2796",
            "fax_number": "918-513-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 N YORK ST STE H",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744031442",
            "telephone_number": "918-912-2796",
            "fax_number": "918-513-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "SARA",
        "middle_name": "E.",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-17",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OK",
            "license": "2767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackie Fields Foundation
• Margo Jackson-Lockyer, MD
• Lisa Jackson, PRSS
• Nancy Lee Jackson, R.N.
• Paige Nicole Jackson
• Stacey Renea Jackson
• Jessica Nicole Jacobs, M.S. CCC-SLP
• Lanise Jamerson
• James M. Nelson, O.D.
• James S Nicholsondds

• Occupational Therapy Assistant in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Occupational Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.