Daniel L Jackson, OTD

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

162819 Issued in AK

Practice address

4015 Lake Otis Pkwy Ste 200
Anchorage, AK 99508-5235

Phone

(907) 308-4251

Fax

(907) 563-3472

NPI assigned

Jun 24, 2020

Sex

Male

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 AK

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Creighton University School of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alaska Hand Rehabilitation IncGroup PAC ID 4284713231, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Alaska Hand Rehabilitation, Inc.

  • Rehabilitation Clinic/Center
  • Anchorage, AK
  • NPI 1881730653

  Physical Rehabilitation

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1639795776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 LAKE OTIS PKWY STE 200",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085235",
            "telephone_number": "907-308-4251",
            "fax_number": "907-563-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 LAKE OTIS PKWY STE 200",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085235",
            "telephone_number": "907-308-4251",
            "fax_number": "907-563-3472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "DANIEL",
        "middle_name": "L",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "AK",
            "license": "162819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Charles Jacks, BA
• Maggie Annie Jackson-Fairbanks
• Amber Jackson, LMT
• Bennett J Jackson, ANP
• Christopher Paul Jackson
• Grace L Jackson
• Jayly Jermayne Jackson
• Jerline Jackson
• Kendal Jackson
• Kiara Jackson

• Physical Rehabilitation Occupational Therapist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Physical Rehabilitation Occupational Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; 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.