Individual provider Active NPI

Destiny Jackson, OTR/L

  • Occupational Therapist
  • Huntsville, AL
National Provider Identifier
1154074961
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5763 Issued in AL
Practice address
2006 Franklin St SE Ste 209
Huntsville, AL 35801-4537
Phone
(256) 898-5940
NPI assigned
Feb 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5763 AL Primary

Addresses

Primary practice location

2006 Franklin St SE Ste 209
Huntsville, AL 35801-4537

Mailing address

268 John Harold Dr
Meridianville, AL 35759-5404
Phone (256) 898-5940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230426001360 AL Practitioner - Occupational Therapist in Private Practice 2769847748 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5763ALMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Choice Rehabilitation Services Inc CurrentSince Jan 16, 2023 Accepting new patients
Shine Bright Occupational Therapy, LLC Occupational Therapist CurrentSince Aug 25, 2025 Accepting new patients

Locations

2006 Franklin St SE
Ste 209
Huntsville, AL 35801
Phone (256) 203-6698

8075 Madison Blvd
Ste 101
Madison, AL 35758
Phone (256) 270-9595

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1154074961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 JOHN HAROLD DR",
            "city": "MERIDIANVILLE",
            "state": "AL",
            "postal_code": "357595404",
            "telephone_number": "256-898-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 FRANKLIN ST SE STE 209",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014537",
            "telephone_number": "256-898-5940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "DESTINY",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-01",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "5763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.