ALISA MAE JACKSON
NPI 1346983905
Rehabilitation Practitioner in Concord, CA

Q: What is Alisa Jackson's NPI number?

The NPI number for Alisa Jackson is 1346983905. It was assigned to this individual provider in the NPPES registry on April 20, 2022.

Q: What is Alisa Jackson's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

Q: When was this NPI record last updated?

The NPPES record for Alisa Jackson was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since April 20, 2022

1848 WILLOW PASS RD STE 207, CONCORD, CA 94520(510) 637-8188 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 13, 2025, Apr 20, 2022 (2 updates tracked since 2022).

On this page

About Alisa Mae Jackson NPPES

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

ALISA MAE JACKSON (NPI 1346983905) is an individual rehabilitation practitioner in Concord, California and active in the NPI registry since April 2022. She maintains a secondary practice location in Pittsburg.

NPPES Registry Identity

NPI1346983905

Entity TypeIndividualFemale

Primary Taxonomy225400000X

Provider Legal NameALISA MAE JACKSON

Location Address1848 WILLOW PASS RD STE 207Concord, CA 94520-2542

Mailing Address24085 Amador St Fl 4Hayward, CA 94544-1226 · (510) 670-8483 · Fax (510) 670-6444

Phone(510) 637-8188

Sole ProprietorNo

Enumeration DateApril 20, 2022

Last NPPES UpdateMay 13, 20252 updates tracked since enumeration

NPPES CertifiedMay 13, 2025

✔ NPI 1346983905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225400000X

Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

1848 WILLOW PASS RD STE 207, Concord, CA 94520

Open in Google Maps ↗

Secondary Practice Location 1

Location 12053 Cardiff DrPittsburg, CA 94565-4051 · Phone (510) 637-8188

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.

AMAAD HUSAIN SALEEMI

Day Training/Habilitation Specialist