EMALIE JACKSON OTRL
NPI 1558157206
Occupational Therapist in Easley, SC

Active since April 18, 2025
123 COUCH LN, EASLEY, SC 29642(864) 859-3303 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Emalie Jackson Otrl NPPES

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

EMALIE JACKSON OTRL (NPI 1558157206) is an individual occupational therapist in Easley, South Carolina, licensed in South Carolina (7166) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1558157206
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameEMALIE JACKSONCredential: OTRL
Location Address123 COUCH LNEasley, SC 29642-1916
Mailing Address548 Broadrum StSpartanburg, SC 29303-6658 · (864) 909-9597
Sole ProprietorNo
Enumeration DateApril 18, 2025
NPPES CertifiedApril 16, 2025
✔ NPI 1558157206 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 SC · 7166
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.
123 COUCH LN, Easley, SC 29642

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Billing Reassignment

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

Physical Therapist
101 PARK CT
Gaffney, SC 29341
  • Reassigned Medicare billing, South Carolina enrollment
  • 42 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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
123 COUCH LN
EASLEY, SC 29642
Occupational Therapist
123 COUCH LN
EASLEY, SC 29642
Physical Therapy Assistant
123 COUCH LN
EASLEY, SC 29642

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 Emalie Jackson's NPI number?

The NPI number for Emalie Jackson is 1558157206. It was assigned to this individual provider in the NPPES registry on April 18, 2025.

Where is Emalie Jackson located?

Emalie Jackson practices at 123 Couch Ln, Easley, SC 29642. The listed phone number is (864) 859-3303.

What is Emalie Jackson's specialty?

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

Is Emalie Jackson enrolled in Medicare?

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

Which organization bills Medicare for Emalie Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emalie Jackson reassigns Medicare benefits to Comprehensive Therapeutics Ltd (Gaffney, SC). 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 Emalie 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 Emalie Jackson was last updated on April 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.