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DOUGLENE J JACKSON PHD OTR/L LMT ATP NPI 1275655482


NPI Information

NPI: 1275655482
Provider Name: DOUGLENE J JACKSON, PHD, OTR/L, LMT, ATP
Classification: Occupational Therapist - 225X00000X
Entity Type: Individual
Address:
240 NW 207TH WAY
PEMBROKE PINES, FL
ZIP 33029
Phone: (678) 472-3201
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Douglene J Jackson, PHD, OTR/L, LMT, ATP is an occupational therapist in Pembroke Pines, FL. The provider is an occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and 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 therapists 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. Douglene J Jackson, PHD, OTR/L, LMT, ATP NPI is 1275655482. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

240 NW 207TH WAY
PEMBROKE PINES, FL
ZIP 33029-509
Phone: (678) 472-3201

The enumeration date for this NPI number is 4/6/2007 and was last updated on 9/6/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225700000XMassage TherapistMA29727FLORIDANo
2225X00000XOccupational TherapistOT003627GEORGIANo
3247200000XTechnician, OtherNo
4225X00000XOccupational TherapistOT10451FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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