SERENITY LEILANI JACKSON OTR
NPI 1205666120
Occupational Therapist in Port Orange, FL

Active since August 05, 2024
1339 COCONUT PALM CIR, PORT ORANGE, FL 32128(386) 416-9050 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Serenity Leilani Jackson Otr NPPES

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

SERENITY LEILANI JACKSON OTR (NPI 1205666120) is an individual occupational therapist in Port Orange, Florida and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1205666120
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameSERENITY LEILANI JACKSONCredential: OTR
Location Address1339 COCONUT PALM CIRPort Orange, FL 32128-7462
Mailing Address1339 Coconut Palm CirPort Orange, FL 32128-7462 · (386) 416-9050
Sole ProprietorYes
Enumeration DateAugust 5, 2024
Last NPPES UpdateAugust 7, 2024
NPPES CertifiedAugust 7, 2024
NPI 1205666120 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
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.
1339 COCONUT PALM CIR, Port Orange, FL 32128

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 Serenity Jackson's NPI number?

The NPI number for Serenity Jackson is 1205666120. It was assigned to this individual provider in the NPPES registry on August 5, 2024.

Where is Serenity Jackson located?

Serenity Jackson practices at 1339 Coconut Palm Cir, Port Orange, FL 32128. The listed phone number is (386) 416-9050.

What is Serenity 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 Serenity Jackson was last updated on August 7, 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.