Katherine A Jackson, OTR/L

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

056.003215 Issued in IL

Practice address

2934 Central St
Ste C2
Evanston, IL 60201-5201

Phone

(847) 530-3507

NPI assigned

Feb 26, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Katherine Jackson Occupational Therapy PLLC

  • Physical Rehabilitation Occupational Therapist
  • Evanston, IL
  • NPI 1508658527
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1267142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1740502178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2906 CENTRAL ST # 294",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011283",
            "telephone_number": "847-530-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2934 CENTRAL ST",
            "address_2": "STE C2",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602015201",
            "telephone_number": "847-530-3507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Central St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602011780",
            "country_code": "US",
            "telephone_number": "847-570-1260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "KATHERINE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-26",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "IL",
            "license": "056.003215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Stewart Iwanski, MOT, OTR/L
• J.Wall Counseling Services
• Bridgette Jackson
• Gregory Paul Jackson, MD
• Jennifer Lee Jackson, MA, LCPC.
• Marcus Jackson
• Robert Jackson, MD
• Steven Jackson
• Tracy I Jackson, APRN, FNP-BC
• Dalia T. Jacob, MD

• Physical Rehabilitation Occupational Therapist in Evanston, IL
• Providers in Evanston, IL by specialty
• Physical Rehabilitation Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.