Active NPI
Connections Achievement and Therapy Center, Corp
- Occupational Therapist
- Roanoke, VA
National Provider Identifier
1972862761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119004835
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 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 DirectoryLocations
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.
-
- Occupational Therapist
- Charlottesville, VA
- NPI 1497260004
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.