SIMONE JACKSON O.T.
NPI 1699543439
Occupational Therapist in Bloomfield Hills, MI

Active since December 12, 2023
6405 TELEGRAPH RD STE F1, BLOOMFIELD HILLS, MI 48301(248) 633-2980(248) 633-2981 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 24, 2026, Dec 12, 2023 (2 updates tracked since 2023).

About Simone Jackson O.t. NPPES

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

SIMONE JACKSON O.T. (NPI 1699543439) is an individual occupational therapist in Bloomfield Hills, Michigan, licensed in Michigan (5201014414) and active in the NPI registry since December 2023. She is a graduate of Other (2023).

NPPES Registry Identity

NPI1699543439
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameSIMONE JACKSONCredential: O.T.
Location Address6405 TELEGRAPH RD STE F1Bloomfield Hills, MI 48301-1775
Mailing Address33900 Harper Ave Ste 104Clinton Twp, MI 48035-4258
Fax(248) 633-2981
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 12, 2023
Last NPPES UpdateJuly 24, 20262 updates tracked since enumeration
NPPES CertifiedJuly 24, 2026
✔ NPI 1699543439 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 MI · 5201014414
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.
6405 TELEGRAPH RD STE F1, Bloomfield Hills, MI 48301

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID3779040258
PECOS Enrollment IDI20260804004399

Medicare Billing Reassignment

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

Physical Therapist
36880 WOODWARD AVE STE 102
Bloomfield Hills, MI 48304
  • Reassigned Medicare billing, Michigan enrollment
  • 408 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 10

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

Physical Therapist
6405 TELEGRAPH RD STE F1
BLOOMFIELD HILLS, MI 48301
Physical Therapy Assistant
6405 TELEGRAPH RD STE F1
BLOOMFIELD HILLS, MI 48301
Physical Therapist
6405 TELEGRAPH RD STE F1
BLOOMFIELD HILLS, MI 48301
Physical Therapist
6405 TELEGRAPH RD STE F1
BLOOMFIELD HILLS, MI 48301
Specialist/Technologist (Athletic Trainer)
6405 TELEGRAPH RD STE F1
BLOOMFIELD HILLS, MI 48301
Physical Therapist
6405 TELEGRAPH RD STE F1
BLOOMFIELD HILLS, MI 48301
Physical Therapist
6405 TELEGRAPH RD STE F1
BLOOMFIELD HILLS, MI 48301
Physical Therapist
6405 TELEGRAPH RD STE F1
BLOOMFIELD HILLS, MI 48301

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 Simone Jackson's NPI number?

The NPI number for Simone Jackson is 1699543439. It was assigned to this individual provider in the NPPES registry on December 12, 2023.

Where is Simone Jackson located?

Simone Jackson practices at 6405 Telegraph Rd Ste F1, Bloomfield Hills, MI 48301. The listed phone number is (248) 633-2980.

What is Simone Jackson's specialty?

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

Is Simone Jackson enrolled in Medicare?

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

Which organization bills Medicare for Simone Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Simone Jackson reassigns Medicare benefits to Team Rehabilitation Services, LLC (Bloomfield Hills, MI). 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 Simone Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Simone Jackson accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Simone Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Simone Jackson was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.