Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013292929 Individual Practitioner Female Practitioner

Michele Mary Jackson , OTR, L

Specialist • Lockport, NY

Professional Overview & Biography Verified Profile Summary

Michele Jackson, OTR, L is a registered healthcare professional specializing in Specialist in Lockport, NY. Practice services are available at 5669 WENDY CIR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5669 Wendy Cir

Lockport, NY 140946015

Telephone 7164344970

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Lockport, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 34.9 Yrs
Regional Practice Density
37 Specialists

Practicing in Lockport, NY (23296 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License NY 003569-1

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Occupational Therapist
003569-1 (NY)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 12, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location October 12, 2011

Registered at 5669 WENDY CIR, LOCKPORT, NY 140946015 (Tel: 7164344970)

📍
Updated Business Mailing Address October 12, 2011

Registered at 5669 WENDY CIR, LOCKPORT, NY 140946015 (Tel: 7164344970)

👤
Provider Name / Credentials Updated October 12, 2011

Recorded as MICHELE JACKSON, OTR/L

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2011

Specialist (License #003569-1 in NY)

🟢
Initial NPI Registration & Enumeration October 12, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Michele Jackson. Be the first to share your experience!

Sign in to leave a review for Michele Jackson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1013292929
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 12, 2011
Last Update: October 12, 2011
Sole Proprietor: No

Mailing Address

5669 Wendy Cir

Lockport, NY 140946015

Phone: 7164344970

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.