MR. JIMMY DEMARIO JACKSON OTRL
NPI 1760516116
Occupational Therapist in Winston Salem, NC

Active since March 16, 2007
5755 SHATTALON DR, WINSTON SALEM, NC 27105(336) 744-2779 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Jimmy Demario Jackson Otrl NPPES

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

MR. JIMMY DEMARIO JACKSON OTRL (NPI 1760516116) is an individual occupational therapist in Winston Salem, North Carolina, licensed in North Carolina (5827) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1760516116
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameMR. JIMMY DEMARIO JACKSONCredential: OTRL
Location Address5755 SHATTALON DRWinston Salem, NC 27105-1332
Mailing Address1009 File StWinston Salem, NC 27101-3230 · (336) 331-2946
Sole ProprietorNo
Enumeration DateMarch 16, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1760516116 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 NC · 5827
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.

5755 SHATTALON DR, Winston Salem, NC 27105

Other Providers at the Same Location NPPES 11

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

Nursing Facility/Intermediate Care Facility
5755 SHATTALON DR
WINSTON-SALEM, NC 27105
Occupational Therapist
5755 SHATTALON DR
WINSTON SALEM, NC 27105
Occupational Therapist
5755 SHATTALON DR
WINSTON SALEM, NC 27105
Occupational Therapist
5755 SHATTALON DR
WINSTON SALEM, NC 27105
Physical Therapy Assistant
5755 SHATTALON DR
WINSTON SALEM, NC 27105
Physical Therapy Assistant
5755 SHATTALON DR
WINSTON SALEM, NC 27105
Physical Therapy Assistant
5755 SHATTALON DR
WINSTON SALEM, NC 27105
Speech-Language Pathologist
5755 SHATTALON DR
WINSTON SALEM, NC 27105

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760516116, enumerated as an "individual" on March 16, 2007.

The provider is located at 5755 SHATTALON DR WINSTON SALEM, NC 27105 and the phone number is (336) 744-2779.

Occupational Therapist with taxonomy code 225X00000X.