NPIMap

Individual provider Active NPI

Christie Lynn Jackson, OTR

  • Occupational Therapist
  • Sherwood, AR
National Provider Identifier
1245297381
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTR1998 Issued in AR
Practice address
9709 Wild Mountain Dr
Sherwood, AR 72120-4366
Phone
(501) 690-0818
NPI assigned
May 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1998 AR
Occupational Therapist 225X00000X OTR1998 AR Primary

Addresses

Primary practice location

9709 Wild Mountain Dr
Sherwood, AR 72120-4366

Mailing address

PO Box 55270
Little Rock, AR 72215-5270
Phone (501) 604-4170

Other practice location 1

207 Fred Rains Dr
Sherwood, AR 72120-5457
Phone (501) 834-0217

Other identifiers 1

IdentifierTypeStateIssuer
157430721MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1998ARMDOccupational Therapist
OTR1998ARMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthoarkansas Physical, Occupational and Sports Therapy Occupational Therapist Past Accepting new patients
North Hills Services Inc Past Accepting new patients
Orthoarkansas, P.a. Past Accepting new patients

Organizations & group practices 3

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1245297381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55270",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722155270",
            "telephone_number": "501-604-4170",
            "fax_number": "501-604-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9709 WILD MOUNTAIN DR",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721204366",
            "telephone_number": "501-690-0818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207 Fred Rains Dr",
            "address_purpose": "LOCATION",
            "city": "Sherwood",
            "state": "AR",
            "postal_code": "721205457",
            "country_code": "US",
            "telephone_number": "501-834-0217",
            "fax_number": "501-833-0957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "CHRISTIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "1998",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR1998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157430721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherwood, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.