MARY JACKSON
NPI 1053777888
Occupational Therapist in Raleigh, NC

Active since January 08, 2016
316 SHEPHERD ST, RALEIGH, NC 27607(919) 219-5653 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY JACKSON (NPI 1053777888) is an individual occupational therapist in Raleigh, North Carolina, licensed in North Carolina (13329) and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1053777888
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMARY JACKSON
Location Address316 SHEPHERD STRaleigh, NC 27607-4032
Mailing Address316 Shepherd StRaleigh, NC 27607-4032 · (919) 219-5653
Sole ProprietorNo
Enumeration DateJanuary 8, 2016
Last NPPES UpdateJuly 29, 2025
NPPES CertifiedJuly 29, 2025
NPI 1053777888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
Licenses Licensed in NC · 13329 Licensed in PA · OC020803
Definition
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.
316 SHEPHERD ST, Raleigh, NC 27607

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Jackson's NPI number?

The NPI number for Mary Jackson is 1053777888. It was assigned to this individual provider in the NPPES registry on January 8, 2016.

Where is Mary Jackson located?

Mary Jackson practices at 316 Shepherd St, Raleigh, NC 27607. The listed phone number is (919) 219-5653.

What is Mary Jackson's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

When was this NPI record last updated?

The NPPES record for Mary Jackson was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.