MR. JEROME GORDON JR. OTR-L
NPI 1073668596
Occupational Therapist in Jackson, MS

Active since January 24, 2007
787 E NORTHSIDE DR, JACKSON, MS 39206(504) 813-4968 Get Directions Write a Review

NPPES record last updated: June 16, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Jerome Gordon Jr. Otr-l NPPES

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

MR. JEROME GORDON JR. OTR-L (NPI 1073668596) is an individual occupational therapist in Jackson, Mississippi, licensed in Mississippi (OT1848) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1073668596
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameMR. JEROME GORDON JR.Credential: OTR-L
Location Address787 E NORTHSIDE DRJackson, MS 39206-4945
Mailing AddressPo Box 587Clinton, MS 39060-0587 · (504) 813-4968
Sole ProprietorYes
Enumeration DateJanuary 24, 2007
Last NPPES UpdateJune 16, 2019
NPI 1073668596 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
License Licensed in MS · OT1848
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.
787 E NORTHSIDE DR, Jackson, MS 39206

Other Providers at the Same Location NPPES 3

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

Counselor (Professional)
787 E NORTHSIDE DR
JACKSON, MS 39206
Psychoanalyst
787 E NORTHSIDE DR
JACKSON, MS 39206
Clinic/Center (Multi-Specialty)
787 E NORTHSIDE DR
JACKSON, MS 39206

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 Jerome Gordon's NPI number?

The NPI number for Jerome Gordon is 1073668596. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is Jerome Gordon located?

Jerome Gordon practices at 787 E Northside Dr, Jackson, MS 39206. The listed phone number is (504) 813-4968.

What is Jerome Gordon'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 Jerome Gordon was last updated on June 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.