Mary Elizabeth Jackson, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA002554 Issued in OH

Practice address

201 Park Ave
South Point, OH 45680-9622

Phone

(740) 377-2756

NPI assigned

Oct 7, 2026

Last updated

Oct 7, 2026By the provider in NPPES

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

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

{
    "created_epoch": "1791331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1154225621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 CARDINAL RD",
            "city": "RUSSELL",
            "state": "KY",
            "postal_code": "411691512",
            "telephone_number": "740-550-2383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PARK AVE",
            "city": "SOUTH POINT",
            "state": "OH",
            "postal_code": "456809622",
            "telephone_number": "740-377-2756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-07",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "OTA002554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inspirational Hope and Wellness LLC
• Ironton & Lawrence County Area Community Action Organization (Lawrence County Transit)
• Ironton & Lawrence County Area Community Action Organization (South Point Family Medical Center)
• Ironton & Lawrence Countyarea Community Action Organization (South Point Family Medical Center)
• Jakki Jackson
• Dakota B Javins, CMS
• Jonathan M Jenkins, CDCA
• Harold Stewart Jeter, D.D.S.
• Darius Joell
• Carla Sue Johnson

• Occupational Therapy Assistant in South Point, OH
• Providers in South Point, OH by specialty
• Occupational Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.