Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790803229 Individual Practitioner Female Practitioner

Susan J Jacksland , OTR

Specialist • Melbourne, FL

Professional Overview & Biography Verified Profile Summary

Susan Jacksland, OTR is a registered healthcare professional specializing in Specialist in Melbourne, FL. Practice services are available at 1990 NEW HAVEN AVENUE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1990 New Haven Avenue
Suite 105

Melbourne, FL 32904

Telephone 3217731737
Fax 3217731737

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Melbourne, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.3 Yrs
State Avg: 37.8 Yrs
Regional Practice Density
24 Specialists

Practicing in Melbourne, FL (3036 Statewide)

Telehealth Adoption Rate
4.2% 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

CMS Verified: 2022-11-10
Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License FL OT4353

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Specialist

NUCC Taxonomy Code: 174400000X

State License FL OT0004353

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location November 10, 2022

Registered at 1990 NEW HAVEN AVENUE, SUITE 105, MELBOURNE, FL 32904 (Tel: 3217731737)

📍
Updated Business Mailing Address November 10, 2022

Registered at 3417 SLATE STREET, WEST MELBOURNE, FL 329047593 (Tel: 4072427070)

👤
Provider Name / Credentials Updated November 10, 2022

Recorded as SUSAN JACKSLAND, OTR

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 140 N ORLANDO AVE, SUITE 130, WINTER PARK, FL 327893606 (Tel: 4076227177)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1101 DEER GULLY CT, APOPKA, FL 327122935 (Tel: 4078844134)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as SUSAN ADAMS, OTRL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #OT0004353 in FL)

🟢
Initial NPI Registration & Enumeration March 26, 2007

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: 1790803229
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 26, 2007
Last Update: November 10, 2022
Sole Proprietor: Yes

Mailing Address

3417 Slate Street

West Melbourne, FL 329047593

Phone: 4072427070

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.