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Active NPI 1053892604 Individual Practitioner Female Practitioner

Tashata Re'kal Jackson , COTA

Occupational Therapy Assistant • Kilgore, TX

Professional Overview & Biography Verified Profile Summary

Tashata Jackson, COTA is a registered healthcare professional specializing in Occupational Therapy Assistant in Kilgore, TX. Practice services are available at 2700 S HENDERSON BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2700 S Henderson Blvd

Kilgore, TX 756624033

Telephone 9039843511
Associated Practice Facility / Clinic
🏢 Kilgore Manor Inc Facility NPI 1447246145

Specialty Benchmarks & Practice Insights

Comparative analytics for Occupational Therapy Assistant in Kilgore, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.3 Yrs
Regional Practice Density
4 Specialists

Practicing in Kilgore, TX (4344 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 TX 212080

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

2 Associated Practitioners
Curtis Evans , PTA

Physical Therapy Assistant

NPI 1013498666

Physical Therapist Assistant

Angela Almanza , COTA

Occupational Therapy Assistant

NPI 1922589563

Certified Occupational Therapy Assistant

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 22, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location August 22, 2018

Registered at 2700 S HENDERSON BLVD, KILGORE, TX 756624033 (Tel: 9039843511)

📍
Updated Business Mailing Address August 22, 2018

Registered at 6860 DALLAS PKWY STE 550, PLANO, TX 750244252 (Tel: 9039843511)

👤
Provider Name / Credentials Updated August 22, 2018

Recorded as TASHATA JACKSON, COTA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2018

Occupational Therapy Assistant (License #212080 in TX)

🟢
Initial NPI Registration & Enumeration August 22, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1053892604
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2018
Last Update: August 22, 2018
Sole Proprietor: No

Mailing Address

6860 Dallas Pkwy Ste 550

Plano, TX 750244252

Phone: 9039843511

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.