Kate Jackson

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC009900 Issued in PA

Practice address

321 Norristown Rd
Ambler, PA 19002-2755

Phone

(866) 736-9654

NPI assigned

Jan 30, 2007

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

Enrolled in PA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Full Range Health Services LLCGroup PAC ID 3577789452, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Full Range Health Services, LLC

  • Physical Therapist
  • Exton, PA
  • NPI 1982029377
  Medicare reassignment Care Compare group
• Supplemental Healthcare

  • Developmentally Disabled Services Day Training Agency
  • Ambler, PA
  • NPI 1902019334
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1477699981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 NORRISTOWN RD",
            "address_2": "SUITE 220",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190022755",
            "telephone_number": "866-736-9654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 NORRISTOWN RD",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190022755",
            "telephone_number": "866-736-9654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 Crump Rd",
            "address_purpose": "LOCATION",
            "city": "Exton",
            "state": "PA",
            "postal_code": "193411516",
            "country_code": "US",
            "telephone_number": "610-241-2685",
            "fax_number": "877-732-7311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "KATE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC009900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn A Hyatt, MD
• Iaccarino Health Group, Inc.
• Impact Behavior Therapy LLC
• Independence Wound Care PLLC
• Robin Israel, RD, LD
• James Cimbak, LLC
• Amanda Beth Janulis, LCSW
• Nasim Javan, LPC
• Jaime Johnson, M.D.
• Matthew Charles Johnson, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; 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.