MISS DARLENE VICTORIA JACKSON OTR/L
NPI 1639360647
Specialist in Phoenix, AZ

Active since August 05, 2007Accepts Medicare Assignment
3233 W PEORIA AVE, STE 224, PHOENIX, AZ 85029(602) 866-2231 Get Directions Write a Review

NPPES record last updated: August 5, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miss Darlene Victoria Jackson Otr/l NPPES

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

MISS DARLENE VICTORIA JACKSON OTR/L (NPI 1639360647) is an individual specialist in Phoenix, Arizona, licensed in Arizona (3656) and active in the NPI registry since August 2007. She is a graduate of Other (1995).

NPPES Registry Identity

NPI1639360647
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMISS DARLENE VICTORIA JACKSONCredential: OTR/L
Location Address3233 W PEORIA AVE, STE 224Phoenix, AZ 85029-4614
Mailing Address3233 W Peoria Ave, Ste 224Phoenix, AZ 85029-4614 · (602) 866-2231
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateAugust 5, 2007
NPI 1639360647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in AZ · 3656
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3233 W PEORIA AVE, Phoenix, AZ 85029

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Miss Darlene Victoria Jackson Otr/l is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355876913
PECOS Enrollment IDI20260121002365

Other Providers at the Same Location NPPES 8

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

Clinic/Center (Physical Therapy)
3233 W PEORIA AVE, SUITE 224
PHOENIX, AZ 85029
Occupational Therapist
3233 W PEORIA AVE, SUITE 224
PHOENIX, AZ 85029
Psychologist
3233 W PEORIA AVE, SUITE 108
PHOENIX, AZ 85029
Specialist
3233 W PEORIA AVE, SUITE 224
PHOENIX, AZ 85029
Counselor (Professional)
3233 W PEORIA AVE, STE 105
PHOENIX, AZ 85029
Physical Therapist
3233 W PEORIA AVE, SUITE 224
PHOENIX, AZ 85029
Specialist
3233 W PEORIA AVE, SUITE 224
PHOENIX, AZ 85029
Speech-Language Pathologist
3233 W PEORIA AVE, SUITE 224
PHOENIX, AZ 85029

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 Darlene Jackson's NPI number?

The NPI number for Darlene Jackson is 1639360647. It was assigned to this individual provider in the NPPES registry on August 5, 2007.

Where is Darlene Jackson located?

Darlene Jackson practices at 3233 W Peoria Ave Ste 224, Phoenix, AZ 85029. The listed phone number is (602) 866-2231.

What is Darlene Jackson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Darlene Jackson enrolled in Medicare?

Yes. Darlene Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Darlene Jackson was last updated on August 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.