James John Jackson, MS,OTR,CHT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT 632 Issued in FL

Practice address

9415 Sunset Dr
Ste 111
Miami, FL 33173-5427

Phone

(786) 507-8278

Fax

(813) 265-2504

NPI assigned

Oct 6, 2006

Last updated

Jan 13, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optimal Performance and Physical Therapies Kendall LLCGroup PAC ID 4981842192, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Optimal Performance and Physical Therapies Kendall LLC

  dba Kendall Hand and Physical Therapy

  • Physical Therapist
  • Miami, FL
  • NPI 1922350289

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Physiotherapy Associates Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Estero, FL
  • NPI 1720039902
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358035200000",
    "number": "1346337615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 NORTHDALE BLVD",
            "address_2": "STE 111W",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241864",
            "telephone_number": "813-418-7350",
            "fax_number": "813-265-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9415 SUNSET DR",
            "address_2": "STE 111",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331735427",
            "telephone_number": "786-507-8278",
            "fax_number": "813-265-2504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JAMES",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "MS,OTR,CHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2013-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT 632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT LICENSE",
            "identifier": "OT 632",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Jasmine Jackson
• Austin Jackson, DMD
• Avis Shantrell Jackson
• Brenda Ann Jackson
• Georgiana Jackson
• Jeffrey Lamar Jackson II, DC
• Jennifer Jackson, M.D.
• John Jackson Jr., M.D.
• Lance Jackson, LMHC
• Latoya Jackson

• Occupational Therapist in Miami, FL
• Providers in Miami, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.