Michael Stephen Jackman

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Practice address

2219 SW 74TH St
Oklahoma City, OK 73159-3931

Phone

(405) 355-3239

NPI assigned

Jan 30, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Bilingual Pediatric Therapies

  • Speech-Language Pathologist
  • Oklahoma City, OK
  • NPI 1336444884
  NPD (past)
• Walnut Behavioral Therapy LLC

  • Behavior Analyst
  • Oklahoma City, OK
  • NPI 1831917467
  NPD (past)

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1639932023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2165 COUNTY STREET 2973",
            "city": "BLANCHARD",
            "state": "OK",
            "postal_code": "730103556",
            "telephone_number": "405-446-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2219 SW 74TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731593931",
            "telephone_number": "405-355-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKMAN",
        "first_name": "MICHAEL",
        "middle_name": "STEPHEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jace Therapy Services PLLC
• Jack E Metcalf MD Inc
• Amber Jack, BSN, RN
• Christopher Jack, MA, SLP
• Michele Renee Jackier
• Rebekkah Jackman, MSN, APRN, FNP-BC
• Warren M Jackman, MD
• Bryan Jackola
• Helen Jackson- Collins
• Carmen Jackson-Heath

• Occupational Therapy Assistant in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Occupational Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.