KORIE JACKSON
NPI 1265939326
Occupational Therapist in Eagan, MN

Active since April 06, 2018
2795 PILOT KNOB RD STE 100, EAGAN, MN 55121(651) 994-9644 Get Directions Write a Review

NPPES record last updated: April 6, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Korie Jackson NPPES

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

KORIE JACKSON (NPI 1265939326) is an individual occupational therapist in Eagan, Minnesota and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1265939326
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameKORIE JACKSON
Location Address2795 PILOT KNOB RD STE 100Eagan, MN 55121-1930
Mailing Address2795 Pilot Knob Rd Ste 100Eagan, MN 55121-1930 · (651) 994-9644
Sole ProprietorNo
Enumeration DateApril 6, 2018
✔ NPI 1265939326 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.
2795 PILOT KNOB RD STE 100, Eagan, MN 55121

Other Identifiers 1

Other105456MN · State Of Minnesota

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Korie Jackson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Speech-Language Pathologist
2795 PILOT KNOB RD STE 100
Eagan, MN 55121
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Childrens Therapy Center Inc
  • 38 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.

Occupational Therapist (Pediatrics)
2795 PILOT KNOB RD STE 100
EAGAN, MN 55121
Speech-Language Pathologist
2795 PILOT KNOB RD STE 100
EAGAN, MN 55121
Speech-Language Pathologist
2795 PILOT KNOB RD STE 100
EAGAN, MN 55121
Occupational Therapist (Pediatrics)
2795 PILOT KNOB RD STE 100
EAGAN, MN 55121
Speech-Language Pathologist
2795 PILOT KNOB RD STE 100
EAGAN, MN 55121
Speech-Language Pathologist
2795 PILOT KNOB RD STE 100
EAGAN, MN 55121
Speech-Language Pathologist
2795 PILOT KNOB RD STE 100
EAGAN, MN 55121
Occupational Therapist
2795 PILOT KNOB RD STE 100
EAGAN, MN 55121

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 Korie Jackson's NPI number?

The NPI number for Korie Jackson is 1265939326. It was assigned to this individual provider in the NPPES registry on April 6, 2018.

Where is Korie Jackson located?

Korie Jackson practices at 2795 Pilot Knob Rd Ste 100, Eagan, MN 55121. The listed phone number is (651) 994-9644.

What is Korie Jackson's specialty?

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

Is Korie Jackson enrolled in Medicare?

Yes. Korie Jackson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Korie Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Korie Jackson reassigns Medicare benefits to Children's Therapy Center, Inc (Eagan, MN). 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 Korie 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 Korie Jackson was last updated on April 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.