Rodney Jackson

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

18135 W Catawba Ave Ste 11
Cornelius, NC 28031-5641

Phone

(704) 780-3110

NPI assigned

Apr 5, 2011

Last updated

Apr 5, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301961600000",
    "number": "1205125747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18135 W CATAWBA AVE STE 11",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280315641",
            "telephone_number": "704-780-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18135 W CATAWBA AVE STE 11",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280315641",
            "telephone_number": "704-780-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "RODNEY",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-05",
        "last_updated": "2011-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integral Audiology PLLC
• Integrative Minds (Integrative Minds LLC)
• Integrative Wellness and Therapeutics, PLLC
• Andrea Iverson
• Gillian Jackson
• Katelyn Skinner Janvrin, MA, LCMHCA, NCC
• Jason E Davis, DC, PLLC (Disc Centers of America - Cornelius)
• Elizabeth W. Jeffries, D.C.
• Alicia Jenkins
• Jennifer Lidstrom Ms DC PC (Lakeside Sports Chiropractic Center)

• Occupational Therapist in Cornelius, NC
• Providers in Cornelius, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.