Jackson Rehab Services, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

102473 Issued in TX

Legal business name

JACKSON REHAB SERVICES, LLC

Practice address

5728 67TH St
Lubbock, TX 79424-1406

Phone

(806) 778-9735

NPI assigned

Jan 28, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. John Phillip Jackson, OTRNPI 1013043553

Title

President

Phone

(806) 778-9735

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Phillip Jackson, OTR

  • Occupational Therapist
  • Lubbock, TX
  • NPI 1013043553
  NPD (past) Authorized official

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

{
    "created_epoch": "1169942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669528857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5728 67TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794241406",
            "telephone_number": "806-778-9735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5728 67TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794241406",
            "telephone_number": "806-778-9735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON REHAB SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-778-9735",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "102473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS - OT",
            "identifier": "0077JN",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• J.Michael Kerley, M.D., PLLC (Phoenix Oncology of Lubbock)
• J&M Community Services LLC
• Miled A Jabor, M.D.
• Rochelle Jacinto, M.D.
• Jack H. Henry MD PA
• Austin Jackson, MD
• Belinda Beth Jackson
• Cecily Lynn Jackson, DDS
• Chet Garrett Jackson, CRNA
• Cole Tyler Jackson

• Occupational Therapist in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.