Monica Jackman Otr/L, PA

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT9381 Issued in FL

Legal business name

MONICA JACKMAN OTR/L, PA

Practice address

600 SW Darwin Blvd Ste 101B
Port St Lucie, FL 34953-3365

Phone

(352) 283-2484

NPI assigned

Jun 25, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Monica Moore Jackman, OTD, OTR/LNPI 1942499272

Title

Occupational Therapist, Owner

Phone

(352) 283-2484

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Monica Moore Jackman, OTD, MHS, OTR/L

  • Occupational Therapist
  • Port St Lucie, FL
  • NPI 1942499272
  NPD (past) Authorized official

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403654400000",
    "number": "1922413228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3242 SW FILLMORE ST",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349533480",
            "telephone_number": "352-283-2484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SW DARWIN BLVD STE 101B",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349533365",
            "telephone_number": "352-283-2484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONICA JACKMAN OTR/L, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-25",
        "last_updated": "2014-06-25",
        "status": "A",
        "authorized_official_last_name": "JACKMAN",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "MOORE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST, OWNER",
        "authorized_official_telephone_number": "352-283-2484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OTD, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT9381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Molina
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• Monique Michelle Mondesir, M.D.
• Paul J Mondo, MD
• Amy Lynn Montanaro, AGNP
• Kristian Montgomery
• Kelsey Montoya
• Pierre Jacob Montrose, MD
• Nora Monval

• Occupational Therapist in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; 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.