Amanda Z. Jackson, O.T.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

002496 Issued in GA

Practice address

575 Dekalb Industrial Way
Suite 103
Decatur, GA 30030-1756

Phone

(404) 296-8511

Fax

(404) 296-8514

NPI assigned

Dec 1, 2006

Last updated

Jul 8, 2007By 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

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Decatur Hand and Physical Therapy Specialists Limited Partnership

  • Physical Therapist
  • Decatur, GA
  • NPI 1174538607

  Occupational Therapist

  NPD (past)
• Decatur Hand Therapy Specialists Limited Partnership

  • Durable Medical Equipment & Medical Supplies
  • Decatur, GA
  • NPI 1851506448
  NPD (past)
• R. Elliott Jackson Geriatrics,LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Atlanta, GA
  • NPI 1437261617
  NPD (past)

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457429011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 WEIGELIA RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453969",
            "telephone_number": "404-633-9955",
            "fax_number": "404-633-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 DEKALB INDUSTRIAL WAY",
            "address_2": "SUITE 103",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301756",
            "telephone_number": "404-296-8511",
            "fax_number": "404-296-8514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "AMANDA",
        "middle_name": "Z.",
        "name_prefix": "Mrs.",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "002496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla Jack, LCSW
• Jackie Haar LCSW, LLC
• Julie Diane Elizabeth Jackson-Murphy, M.D.
• Patrice M Jackson-Weathers, CNA
• Althea Brenda Jackson, RN
• Andrea Tiggler Jackson, RPH
• Barbara Ann Jackson, RN
• Courtney Nicole Jackson
• Dewanda B. Jackson, LPC, CPCS, EAU-C
• Donna Michelle Jackson

• Occupational Therapist in Decatur, GA
• Providers in Decatur, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.