Amy S Jackson, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC011075 Issued in PA

Practice address

551 W Lancaster Ave
#400
Haverford, PA 19041-1419

Phone

(610) 526-1974

NPI assigned

Mar 8, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299542400000",
    "number": "1396043774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 BURBRIDGE ST",
            "address_2": "APT. B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191442506",
            "telephone_number": "215-200-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 W LANCASTER AVE",
            "address_2": "#400",
            "city": "HAVERFORD",
            "state": "PA",
            "postal_code": "190411419",
            "telephone_number": "610-526-1974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "AMY",
        "middle_name": "S",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-08",
        "last_updated": "2011-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC011075",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "DE",
            "license": "U1-0001210",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Hong
• Elizabeth Carrie Hubbucks, OTR/L
• Jeesun S Hunting, LCSW
• Caryn Michelle Hurlock, M.A. CCC-SLP
• I. M. Solomon, P.C.
• Matthew Jonas Jarrett, M.D.
• Anthony Gerard Johnson, M.D. M.B.B.S. M.P.H.
• Susan Johntz, M.D.
• Shobhana Laveen Kanal, MSS, LCSW
• Jessica Diane Kane, COTA

• Occupational Therapist in Haverford, PA
• Providers in Haverford, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.