Organization Active NPI

Connections Achievement and Therapy Center, Corp

  • Occupational Therapist
  • Roanoke, VA
National Provider Identifier
1972862761
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119004835 Issued in VA
Legal business name
CONNECTIONS ACHIEVEMENT AND THERAPY CENTER, CORP
Practice address
6746 Thirlane Rd
Roanoke, VA 24019-2908
Phone
(540) 400-8505
Fax
(540) 566-3924
NPI assigned
May 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Authorized official

Name
Dr. Brice Jackson, DC FACFN FABBIR
Title
Owner/Clinical Director
Phone
(540) 400-8505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 0119004835 VA Primary

Addresses

Primary practice location

6746 Thirlane Rd
Roanoke, VA 24019-2908

Mailing address

6746 Thirlane Rd
Roanoke, VA 24019-2908
Phone (540) 400-8505

National Provider Directory

National Provider Directory

Locations

277 Hydraulic Ridge Rd
Ste 102
Charlottesvle, VA 22901
Phone (434) 218-2175

5430 Peters Creek Rd
Ste 108
Roanoke, VA 24019
Phone (540) 400-8505

6746 Thirlane Rd
Roanoke, VA 24019
Phone (434) 529-6248

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1972862761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6746 THIRLANE RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240192908",
            "telephone_number": "540-400-8505",
            "fax_number": "540-566-3924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6746 THIRLANE RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240192908",
            "telephone_number": "540-400-8505",
            "fax_number": "540-566-3924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTIONS ACHIEVEMENT AND THERAPY CENTER, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-14",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "BRICE",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "540-400-8505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC FACFN FABBIR"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119004835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.