MR. JASON DAVID LACY MSR, OTR-L, ATP
NPI 1255489324
Occupational Therapist in Chickamauga, GA

Active since January 08, 2007Accepts Medicare Assignment
74 GLASS MILL POINTE DR, CHICKAMAUGA, GA 30707(706) 375-3050 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mr. Jason David Lacy Msr, Otr-l, Atp NPPES

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

MR. JASON DAVID LACY MSR, OTR-L, ATP (NPI 1255489324) is an individual occupational therapist in Chickamauga, Georgia, licensed in Tennessee (OT2656) and active in the NPI registry since January 2007. He is a graduate of Medical University Of South Carolina College Of Medicine (2000).

NPPES Registry Identity

NPI1255489324
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameMR. JASON DAVID LACYCredential: MSR, OTR-L, ATP
Location Address74 GLASS MILL POINTE DRChickamauga, GA 30707-3478
Mailing Address74 Glass Mill Pointe DrChickamauga, GA 30707-3478
Sole ProprietorYes
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2000
Enumeration DateJanuary 8, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1255489324 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 TN · OT2656
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.
74 GLASS MILL POINTE DR, Chickamauga, GA 30707

Other Identifiers 2

OtherOT2656TN · Ot State License
OtherOT3322GA · Ot State License

Accepted Insurance

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

Mr. Jason David Lacy Msr, Otr-l, Atp 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 ID9335437136
PECOS Enrollment IDI20161011002063

Medicare Billing Reassignment

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

Multi-Specialty
1020 CHARLIE DANIELS PKWY
Mount Juliet, TN 37122
  • Reassigned Medicare billing, Tennessee enrollment
  • 50 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.

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 Jason Lacy's NPI number?

The NPI number for Jason Lacy is 1255489324. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Jason Lacy located?

Jason Lacy practices at 74 Glass Mill Pointe Dr, Chickamauga, GA 30707. The listed phone number is (706) 375-3050.

What is Jason Lacy's specialty?

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

Is Jason Lacy enrolled in Medicare?

Yes. Jason Lacy 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 Jason Lacy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Lacy reassigns Medicare benefits to Empowerme Rehabilitation, LLC (Mount Juliet, TN). 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 Jason Lacy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jason Lacy accept?

Health plans from BlueCross BlueShield of Tennessee list Jason Lacy 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 Jason Lacy was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.