DR. JACKIE D NICKSON OTD, OTR/L
NPI 1356777411
Occupational Therapist in Horn Lake, MS

Active since September 20, 2013
6664 SINCLAIR DR, HORN LAKE, MS 38637(901) 230-4982(662) 393-2673 Get Directions Write a Review

NPPES record last updated: January 12, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jackie D Nickson Otd, Otr/l NPPES

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

DR. JACKIE D NICKSON OTD, OTR/L (NPI 1356777411) is an individual occupational therapist in Horn Lake, Mississippi, licensed in Mississippi (OT1986) and active in the NPI registry since September 2013.

NPPES Registry Identity

NPI1356777411
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameDR. JACKIE D NICKSONCredential: OTD, OTR/L
Location Address6664 SINCLAIR DRHorn Lake, MS 38637-2598
Mailing Address6664 Sinclair DrHorn Lake, MS 38637-2598 · (901) 230-4982 · Fax (662) 393-2673
Fax(662) 393-2673
Sole ProprietorYes
Enumeration DateSeptember 20, 2013
Last NPPES UpdateJanuary 12, 2014
NPI 1356777411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
Licenses Licensed in MS · OT1986 Licensed in MS · 1986
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.
Also ListedOccupational Therapy AssistantTaxonomy 224Z00000X
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedPhysical Therapy AssistantTaxonomy 225200000X
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
6664 SINCLAIR DR, Horn Lake, MS 38637

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Jackie Nickson's NPI number?

The NPI number for Jackie Nickson is 1356777411. It was assigned to this individual provider in the NPPES registry on September 20, 2013.

Where is Jackie Nickson located?

Jackie Nickson practices at 6664 Sinclair Dr, Horn Lake, MS 38637. The listed phone number is (901) 230-4982.

What is Jackie Nickson'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 Jackie Nickson was last updated on January 12, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.