Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285127506 Individual Practitioner Female Practitioner

Jacqueline Nichole Jackson , COTA

Occupational Therapy Assistant • Callaway, FL

Professional Overview & Biography Verified Profile Summary

Jacqueline Jackson, COTA is a registered healthcare professional specializing in Occupational Therapy Assistant in Callaway, FL. Practice services are available at 626 N TYNDALL PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

626 N Tyndall Pkwy

Callaway, FL 324046132

Telephone 8508716363
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Occupational Therapy Assistant in Callaway, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.3 Yrs
Regional Practice Density
4 Specialists

Practicing in Callaway, FL (3883 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Occupational Therapy Assistant Primary Specialty

NUCC Taxonomy Code: 224Z00000X

State License FL OTA15305

An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Heather Pruett , COTA, L

Occupational Therapy Assistant

NPI 1073093449

Certified Occupational Therapy Assistant, L

Timothy Schmiz

Occupational Therapist

NPI 1104222553
Regina Henderson

Nurse Practitioner - Family

NPI 1144023797
Donavan Melton , OTR, L

Occupational Therapist

NPI 1154692788

Occupational Therapist Registered, L

Michelle Cerbantec , MS CCC-SLP

Speech-Language Pathologist

NPI 1194106708

MSCCCSLP

Corey Wigginton

Physical Therapy Assistant

NPI 1235679739

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 12, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 12, 2018

Registered at 626 N TYNDALL PKWY, CALLAWAY, FL 324046132 (Tel: 8508716363)

📍
Updated Business Mailing Address June 12, 2018

Registered at 626 N TYNDALL PKWY, CALLAWAY, FL 324046132 (Tel: 8508716363)

👤
Provider Name / Credentials Updated June 12, 2018

Recorded as JACQUELINE JACKSON, COTA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2018

Occupational Therapy Assistant (License #OTA15305 in FL)

🟢
Initial NPI Registration & Enumeration June 12, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285127506
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 12, 2018
Last Update: June 12, 2018
Sole Proprietor: No

Mailing Address

626 N Tyndall Pkwy

Callaway, FL 324046132

Phone: 8508716363

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.