Shelia Jackson, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

2250 US Highway 43 Ste 107
Winfield, AL 35594-8622

Phone

(205) 487-0540

Fax

(205) 487-0569

NPI assigned

Jun 24, 2006

Last updated

May 15, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Encore Rehabiliation Inc

  dba Encore Rehab of Moulton

  • Physical Therapy Clinic/Center
  • Moulton, AL
  • NPI 1700912052
  NPD (past)
• Encore Rehabiliation Inc

  dba Encore Rehab of Decatur

  • Physical Therapy Clinic/Center
  • Decatur, AL
  • NPI 1841325891
  NPD (past)
• Encore Rehabilitation Inc

  dba Encore Rehab of Mobile TC

  • Physical Therapy Clinic/Center
  • Theodore, AL
  • NPI 1043346380
  NPD (past)
• Encore Rehabilitation Inc

  dba Encore Rehab of Muscle Shoals

  • Physical Therapy Clinic/Center
  • Muscle Shoals, AL
  • NPI 1063548345
  NPD (past)
• Encore Rehabilitation Inc

  dba Encore Rehab of Fairfield

  • Physical Therapy Clinic/Center
  • Birmingham, AL
  • NPI 1063881464
  NPD (past)
• Encore Rehabilitation Inc

  dba Encore Rehab of Gulf Shores

  • Physical Therapy Clinic/Center
  • Gulf Shores, AL
  • NPI 1073648036
  NPD (past)
• Encore Rehabilitation Inc

  dba Encore Rehab on 59 Eva Road

  • Physical Therapy Clinic/Center
  • Somerville, AL
  • NPI 1174997514
  NPD (past)
• Encore Rehabilitation Inc

  dba Encore Rehab of Orange Beach

  • Physical Therapy Clinic/Center
  • Orange Beach, AL
  • NPI 1316073679
  NPD (past)
• Encore Rehabilitation Inc

  dba Encore Rehab of McIntosh

  • Physical Therapy Clinic/Center
  • McIntosh, AL
  • NPI 1316113087
  NPD (past)
• Encore Rehabilitation Inc

  dba Encore Rehab of Russellville

  • Physical Therapy Clinic/Center
  • Russellville, AL
  • NPI 1356477624
  NPD (past)
• Encore Rehabilitation Inc

  • Physical Therapy Clinic/Center
  • Valley, AL
  • NPI 1396871679
  NPD (past)
• Encore Rehabilitation Inc

  • Physical Therapy Clinic/Center
  • Pike Road, AL
  • NPI 1447705272
  NPD (past)

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368576000000",
    "number": "1700812567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 FLINT RD SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356016031",
            "telephone_number": "256-340-9708",
            "fax_number": "256-340-9624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 US HIGHWAY 43 STE 107",
            "city": "WINFIELD",
            "state": "AL",
            "postal_code": "355948622",
            "telephone_number": "205-487-0540",
            "fax_number": "205-487-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "SHELIA",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-24",
        "last_updated": "2013-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1003819608",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529917620",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John William Holley II, DPT
• Alissa Anne Hood, C.R.N.P.
• Hospice of Northwest Alabama
• Muhammad Zahid Husain, MD
• Inner Health Chiropractic, LLC
• Jessica Nicole Johnigan
• Kaylea McGuire Johnson, PTA
• Rachael Jones, PT
• Timothy Bruce Jordan, MD
• Joseph F Weldy Home for Children Inc

• Occupational Therapist in Winfield, AL
• Providers in Winfield, AL by specialty
• Occupational Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; 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.