Leeann Pearl Jacks, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

2899 Issued in ID

Practice address

102 W 11TH Ave Ste a
Post Falls, ID 83854-9255

Phone

(208) 981-1111

NPI assigned

Feb 6, 2024

Last updated

Feb 6, 2024By the provider in NPPES

Sex

Female

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

State licenses

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

• Tandy Therapy LLC

  dba Tandy Therapy

  • Speech-Language Pathologist
  • Post Falls, ID
  • NPI 1417480393
  NPD
• Burns & Hunsaker LLC

  dba Achieve Center

  • Speech-Language Pathologist
  • Wenatchee, WA
  • NPI 1740308600

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1720842271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5015 S REGAL ST APT C1022",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992238027",
            "telephone_number": "678-689-9396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W 11TH AVE STE A",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838549255",
            "telephone_number": "208-981-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKS",
        "first_name": "LEEANN",
        "middle_name": "PEARL",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "ID",
            "license": "2899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inland Northwest Renal Care Group, LLC (Renal Care Group Post Falls)
• Inland Sleep Center, LLC
• Inner Heart Therapy, LLC
• Inspirational Therapy L.L.C.
• J. Craig Stevens MD PC
• Tasha M Jackson
• Corbin Daniel Jacobs, M.D.
• Cher A Jacobsen, MD
• Robyn Suzanne Jamar, LMSW
• James E. Vancho, DC, PC

• Pediatric Occupational Therapist in Post Falls, ID
• Providers in Post Falls, ID by specialty
• Pediatric Occupational Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.