Active NPI
Mary Ruth Jackson, OTR/L
- Specialist
- Taunton, MA
National Provider Identifier
1457535734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 5650
- Practice address
- 68 Allison Ave
Taunton, MA 02780-6958 - Phone
- (508) 880-0202
- NPI assigned
- Dec 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 5650 | MA | Primary |
Addresses
Primary practice location
68 Allison Ave
Taunton, MA 02780-6958
Mailing address
68 Allison Ave
Taunton, MA 02780-6958
Phone (508) 880-0202
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5650 | Other | MA | LICENSE OT MA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5650 | MA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198281600000",
"number": "1457535734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 ALLISON AVE",
"city": "TAUNTON",
"state": "MA",
"postal_code": "027806958",
"telephone_number": "508-880-0202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 ALLISON AVE",
"city": "TAUNTON",
"state": "MA",
"postal_code": "027806958",
"telephone_number": "508-880-0202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "MARY",
"middle_name": "RUTH",
"name_prefix": "Miss",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-22",
"last_updated": "2007-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MA",
"license": "5650",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE OT MA",
"identifier": "5650",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Taunton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.