Active NPIIndividual providerSole proprietor

Lisa M Jackson, OTR-L

Occupational Therapist in Milton, Massachusetts

NPI Number1881273365
Practice location
138 Thacher St, Milton, MA 02186-2025
Fax
—
Last updated
April 3, 2021

Lisa Michelle Jackson is an Occupational Therapist based in Milton, MA. Lisa Michelle Jackson practices in Milton, MA and has the professional credentials of OTR-L. The NPI Number for Lisa Michelle Jackson is 1881273365 and holds a License No. 9925 (MA). The current practice location address for Lisa Michelle Jackson is 138 Thacher St, Milton, MA 02186-2025 and can be reached out via phone at 617-910-8923.

Provider Profile Details

NPI Number
1881273365
Provider Name
Lisa Michelle Jackson
Credential
OTR-L
Provider Entity Type
Individual
Gender
Female
Address
138 Thacher St, Milton, MA 02186-2025
Phone Number
617-910-8923
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
Yes
Provider Enumeration Date
April 3, 2021
Last Update Date
April 3, 2021
Certification Date
April 3, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
138 Thacher St
Milton, MA 02186-2025
City
Milton
Zip
02186-2025
Phone Number
617-910-8923
Milton, MA 02186Get directions →

Provider Business Mailing Address Details

Address
138 Thacher St
Milton, MA 02186-2025
City
Milton
State
MA
Zip
02186-2025
Phone Number
617-910-8923

License Information

License Number
9925
License State
MA
Taxonomy
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lisa M Jackson, OTR-L?

The NPI number of Lisa M Jackson, OTR-L is 1881273365. It was assigned on April 3, 2021 and is currently active in the NPPES registry.

What is the specialty of Lisa M Jackson, OTR-L?

Lisa M Jackson, OTR-L is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in MA under license number 9925.

Where does Lisa M Jackson, OTR-L practice?

The practice location is 138 Thacher St, Milton, MA 02186-2025. The office can be reached at 617-910-8923 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1881273365 directly on the NPPES registry website.

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