Cheryl Lynn Jackson, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

216 Issued in AL

Practice address

3057 Lorna Rd Ste 220
Birmingham, AL 35216-4518

Phone

(205) 978-9939

Fax

(205) 968-4157

NPI assigned

Apr 11, 2016

Last updated

Apr 11, 2016By 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

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460332800000",
    "number": "1851755243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3057 LORNA RD STE 220",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352164518",
            "telephone_number": "205-978-9939",
            "fax_number": "205-968-4157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3057 LORNA RD STE 220",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352164518",
            "telephone_number": "205-978-9939",
            "fax_number": "205-968-4157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "CHERYL",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-11",
        "last_updated": "2016-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Jackson, PA-C
• Anise Jackson, LPC
• Brad F Jackson, PHARM D
• Carmesia Jackson
• Caroline Vandiver Jackson, MD
• Clissie Terersa Jackson, HOME CARE
• Colette Jackson, MD
• Daniel Brett Jackson, MD
• Deeanne S Jackson, M.D.
• Dynasty Jackson, NBHWC, LBSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; 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.