Rachel Lynn Jackson, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201009240 Issued in MI

Practice address

2100 E Riley Thompson Rd
Muskegon, MI 49445-9540

Phone

(270) 559-7107

NPI assigned

Jun 28, 2007

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1588861983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2923 OAK LN",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494442523",
            "telephone_number": "270-559-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 E RILEY THOMPSON RD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494459540",
            "telephone_number": "270-559-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "RACHEL",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-28",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201009240",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "KY-R3379",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariel Mae Jackson
• Courtney Jackson
• Heidi Jackson, P.A.
• Katherine Zmolek Jackson, PA-C
• La Toyia K Jackson
• Rebecca Jacobs, BS, MS, DO
• Danielle Marie Jacobson, PA-C
• Renee Jacot, HHA
• Kara Janeen Jaekel
• Kimberly Jahn, LMSW

• Occupational Therapist in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.