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Daniel Jackson , COTA

Occupational Therapy Assistant β€’ Winter Haven, FL

Active NPI 1780043091 Individual Practitioner Male Practitioner
Practice location in NPPES

4208 Glenns Pass
Winter Haven, FL 338842443

Call 7066992894 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4208 Glenns Pass

Winter Haven, FL 338842443

Telephone 7066992894

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Winter Haven and Florida

52 active clinicians are listed under Occupational Therapy Assistant with a practice address in Winter Haven, FL (3,830 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Winter Haven

0% of these 52 clinicians have the CMS telehealth indicator.

0% of these 52 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-09-27
Occupational Therapy Assistant Primary Specialty

NUCC Taxonomy Code: 224Z00000X

License # reported to NPPES FL OTA18819

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.

Occupational Therapy Assistant

NUCC Taxonomy Code: 224Z00000X

License # reported to NPPES MO 2008034752

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location September 27, 2022

Registered at 4208 GLENNS PASS, WINTER HAVEN, FL 338842443 (Tel: 7066992894)

πŸ“
Updated Business Mailing Address September 27, 2022

Registered at 4208 GLENNS PASS, WINTER HAVEN, FL 338842443 (Tel: 7066992894)

βœ…
NPI Profile Active February 15, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 15, 2016

Registered at 2906 WEATHERSTONE DR, KIRKSVILLE, MO 635015658 (Tel: 7066992894)

πŸ“
Business Mailing Address (Initial Record) February 15, 2016

Registered at 2906 WEATHERSTONE DR, KIRKSVILLE, MO 635015658 (Tel: 7066992894)

πŸ‘€
Provider Name / Credentials (Initial Record) February 15, 2016

Recorded as DANIEL JACKSON, COTA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2016

Occupational Therapy Assistant (license number reported to NPPES: MO 2008034752)

🟒
Initial NPI Registration & Enumeration February 15, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1780043091
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 15, 2016
Last Update: September 27, 2022
Sole Proprietor: Yes

Mailing Address

4208 Glenns Pass

Winter Haven, FL 338842443

Phone: 7066992894

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.