SPENCER JACKSON OTR/L
NPI 1184381337
Occupational Therapist in Grand Rapids, MI

Active since November 23, 2021Accepts Medicare Assignment
6333 KALAMAZOO AVE SE STE 600, GRAND RAPIDS, MI 49508(616) 649-1577(616) 710-3019 Get Directions Write a Review

NPPES record last updated: October 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 6, 2024, Nov 23, 2021 (2 updates tracked since 2021).

About Spencer Jackson Otr/l NPPES

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

SPENCER JACKSON OTR/L (NPI 1184381337) is an individual occupational therapist in Grand Rapids, Michigan, licensed in Michigan (5201013949) and active in the NPI registry since November 2021. He is a graduate of Other (2024).

NPPES Registry Identity

NPI1184381337
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameSPENCER JACKSONCredential: OTR/L
Location Address6333 KALAMAZOO AVE SE STE 600Grand Rapids, MI 49508-7858
Mailing Address2122 York Rd Ste 300Oak Brook, IL 60523-1925 · (630) 575-6200
Fax(616) 710-3019
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 23, 2021
Last NPPES UpdateOctober 3, 20252 updates tracked since enumeration
NPPES CertifiedOctober 3, 2025
NPI 1184381337 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 MI · 5201013949
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.
6333 KALAMAZOO AVE SE STE 600, Grand Rapids, MI 49508

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Spencer Jackson 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 ID3375079445
PECOS Enrollment IDI20241212001572

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.

Physical Therapist
6333 KALAMAZOO AVE SE STE 600
GRAND RAPIDS, MI 49508
Occupational Therapist
6333 KALAMAZOO AVE SE STE 600
GRAND RAPIDS, MI 49508
Physical Therapist
6333 KALAMAZOO AVE SE STE 600
GRAND RAPIDS, MI 49508

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 Spencer Jackson's NPI number?

The NPI number for Spencer Jackson is 1184381337. It was assigned to this individual provider in the NPPES registry on November 23, 2021.

Where is Spencer Jackson located?

Spencer Jackson practices at 6333 Kalamazoo Ave SE Ste 600, Grand Rapids, MI 49508. The listed phone number is (616) 649-1577.

What is Spencer Jackson's specialty?

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

Is Spencer Jackson enrolled in Medicare?

Yes. Spencer 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.

What insurance does Spencer Jackson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Spencer Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Spencer Jackson was last updated on October 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.