CHRISTINE DIANE JACKSON O.T.
NPI 1538220884
Occupational Therapist in Roseville, CA

Active since December 12, 2006
1600 EUREKA RD, ROSEVILLE, CA 95661(916) 784-5078 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Christine Diane Jackson O.t. NPPES

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

CHRISTINE DIANE JACKSON O.T. (NPI 1538220884) is an individual occupational therapist in Roseville, California, licensed in California (OT4190) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1538220884
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameCHRISTINE DIANE JACKSONCredential: O.T.
Location Address1600 EUREKA RDRoseville, CA 95661-3027
Mailing Address1600 Eureka RdRoseville, CA 95661-3027 · (916) 784-5078
Sole ProprietorNo
Enumeration DateDecember 12, 2006
Last NPPES UpdateDecember 30, 2021
✔ NPI 1538220884 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 CA · OT4190
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.
1600 EUREKA RD, Roseville, CA 95661

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christine Diane Jackson O.t. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 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.

Urology
1600 EUREKA RD
ROSEVILLE, CA 95661
Pharmacist
1600 EUREKA RD
ROSEVILLE, CA 95661
Physical Therapist
1600 EUREKA RD
ROSEVILLE, CA 95661
Hospitalist
1600 EUREKA RD
ROSEVILLE, CA 95661
Internal Medicine
1600 EUREKA RD
ROSEVILLE, CA 95661
Nurse Practitioner (Women's Health)
1600 EUREKA RD, WOMEN'S HEALTH , PERMANENTE MEDICAL GROUP
ROSEVILLE, CA 95661
Pediatrics (Pediatric Hematology-Oncology)
1600 EUREKA RD
ROSEVILLE, CA 95661
Pharmacist
1600 EUREKA RD
ROSEVILLE, CA 95661

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 Christine Jackson's NPI number?

The NPI number for Christine Jackson is 1538220884. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Christine Jackson located?

Christine Jackson practices at 1600 Eureka Rd, Roseville, CA 95661. The listed phone number is (916) 784-5078.

What is Christine Jackson's specialty?

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

Is Christine Jackson enrolled in Medicare?

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

Which organization bills Medicare for Christine Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Christine Jackson reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). 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 Christine 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 Christine Jackson was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.