JEREMY JACKSON OTD, OTR/L
NPI 1063259224
Occupational Therapist - Pediatrics in Aurora, CO

Active since July 13, 2024Accepts Medicare Assignment
13123 E 16TH AVE, AURORA, CO 80045(720) 777-1234 Get Directions Write a Review

NPPES record last updated: July 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jeremy Jackson Otd, Otr/l NPPES

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

JEREMY JACKSON OTD, OTR/L (NPI 1063259224) is an individual pediatrics provider in Aurora, Colorado, licensed in Colorado (OT.0008110) and active in the NPI registry since July 2024. He is a graduate of Other (2023).

NPPES Registry Identity

NPI1063259224
Entity TypeIndividualMale
Primary Taxonomy225XP0200X
Provider Legal NameJEREMY JACKSONCredential: OTD, OTR/L
Location Address13123 E 16TH AVEAurora, CO 80045-7106
Mailing Address13123 E 16th AveAurora, CO 80045-7106 · (720) 777-1234
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 13, 2024
NPPES CertifiedJuly 13, 2024
✔ NPI 1063259224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225XP0200X
License✔ Licensed in CO · OT.0008110
Definition
Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or occupations. Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities.
13123 E 16TH AVE, Aurora, CO 80045

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jeremy Jackson Otd, Otr/l is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739662529
PECOS Enrollment IDI20260310003413

Medicare Billing Reassignment

Medicare enrollment records show Jeremy Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
622 EAGLE ROCK AVE
West Orange, NJ 07052
  • Reassigned Medicare billing, New Jersey enrollment
  • 472 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Surgical)
13123 E 16TH AVE
AURORA, CO 80045
Anesthesiologist Assistant
13123 E 16TH AVE
AURORA, CO 80045
Registered Nurse (Neonatal Intensive Care)
13123 E 16TH AVE
AURORA, CO 80045
Audiologist
13123 E 16TH AVE, 2ND FLOOR OUTPATIENT PAVILION - AUDIOLOGY
AURORA, CO 80045
Nurse Practitioner (Psychiatric/Mental Health)
13123 E 16TH AVE
AURORA, CO 80045
Nurse Practitioner (Pediatrics)
13123 E 16TH AVE
AURORA, CO 80045
Registered Nurse (Neonatal Intensive Care)
13123 E 16TH AVE
AURORA, CO 80045
Emergency Medicine (Pediatric Emergency Medicine)
13123 E 16TH AVE, AURORA, CO 80045-7106
AURORA, CO 80045

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 Jeremy Jackson's NPI number?

The NPI number for Jeremy Jackson is 1063259224. It was assigned to this individual provider in the NPPES registry on July 13, 2024.

Where is Jeremy Jackson located?

Jeremy Jackson practices at 13123 E 16th Ave, Aurora, CO 80045. The listed phone number is (720) 777-1234.

What is Jeremy Jackson's specialty?

The primary specialty registered for this NPI is Occupational Therapist, specializing in Pediatrics, with taxonomy code 225XP0200X.

Is Jeremy Jackson enrolled in Medicare?

Yes. Jeremy Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jeremy Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Jackson reassigns Medicare benefits to Jag-One Physical Therapy, LLC (West Orange, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeremy Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jeremy Jackson was last updated on July 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.