Malinda Anne Jackson, OTR/L

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

17-01402 Issued in KS

Practice address

3101 Main St
Kansas City, MO 64111-1921

Phone

(816) 841-2284

Fax

(816) 753-7836

NPI assigned

May 22, 2009

Last updated

Aug 28, 2023By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS, MO2 enrollments

Enrollment records 2

Specialty

Occupational Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PWR Physio LLCGroup PAC ID 1355774738, 9 clinicians

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

• PWR Physio LLC

  • Physical Therapist
  • Lenexa, KS
  • NPI 1972063436

  MO, Physical Rehabilitation

  Medicare reassignment Care Compare group NPD
• Children's Center for the Visually Impaired

  • Developmentally Disabled Services Day Training Agency
  • Kansas City, MO
  • NPI 1023136165
  NPD

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1821223660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 MAIN ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641111921",
            "telephone_number": "816-541-2284",
            "fax_number": "816-753-7836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 MAIN ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641111921",
            "telephone_number": "816-841-2284",
            "fax_number": "816-753-7836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "MALINDA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-22",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "MO",
            "license": "003979",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "KS",
            "license": "17-01402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi K Jackson, MD
• Julia Todd Jackson, RN
• Katherine S.T. Jackson, LPC
• Kenneth Dolen Jackson, MD
• Keri D Jackson, AGACNP-BC
• Mary Anne Jackson, MD
• Megan Jackson, APRN
• Melissa Marie Jackson, RN, IBCLC
• Morgan Jackson, RN, IBCLC
• Nathaniel Jackson

• Physical Rehabilitation Occupational Therapist in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Physical Rehabilitation Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.