Emalie Jackson, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

7166 Issued in SC

Practice address

123 Couch LN
Easley, SC 29642-1916

Phone

(864) 859-3303

NPI assigned

Apr 18, 2025

Last updated

Apr 18, 2025By 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

Enrolled in SC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Comprehensive Therapeutics LTD

  • Physical Therapist
  • Gaffney, SC
  • NPI 1437765583

  Occupational Therapist

  Medicare reassignment NPD
• Comprehensive Therapeutics LTD

  • Physical Therapist
  • Lagrange, GA
  • NPI 1881458354

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1744934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1558157206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 BROADRUM ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293036658",
            "telephone_number": "864-909-9597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 COUCH LN",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296421916",
            "telephone_number": "864-859-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "EMALIE",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-18",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "7166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Sean Irvin, PAC
• James Oliver Ivey Jr., RPH
• J.N. St John LLC (St John Family Chiropractic Clinic)
• Lyle Hendricks Jacks, LMSW
• Davis Christopher Jackson, PT, DPT
• Jacob Jackson
• Vanessa Louise Jackson, OTR
• David Calhoun Jacobs Jr., MD
• Vikas Raja Jain, DMD
• James J. Lynn, DMD, PA

• Occupational Therapist in Easley, SC
• Providers in Easley, SC by specialty
• Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.