| Michelle M Jackson, | |
|
116 Enterprise Ct, Greenwood, SC 29649-1666 | |
| (865) 392-2817 | |
| Not Available |
| Full Name | Michelle M Jackson |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 116 Enterprise Ct, Greenwood, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720485733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 018522-1 (New York) | Secondary |
| 225X00000X | Occupational Therapist | 5256 (South Carolina) | Primary |
| Provider Name | Functional Pathways Preferred Of Tennessee Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1841561446 PECOS PAC ID: 2860649654 Enrollment ID: O20130110000461 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle M Jackson, 10133 Sherrill Blvd Ste 200, Knoxville, TN 37932-3347 Ph: (978) 738-6102 | Michelle M Jackson, 116 Enterprise Ct, Greenwood, SC 29649-1666 Ph: (865) 392-2817 |
Innovative Therapy Services Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 215 Wellington Dr, Greenwood, SC 29649 Phone: 864-729-2955 | |
Mrs. Crystal P Roy, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 437 Cambridge Ave E, Greenwood, SC 29646 Phone: 864-223-1950 | |
Jasmine Williams, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 104 Maxwell Ave Ste 312, Greenwood, SC 29646 Phone: 864-229-7529 | |
Limitless Recovery Occupational Therapy Llc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 121 Beech Run Dr, Greenwood, SC 29649 Phone: 864-331-9258 Fax: 864-900-0369 | |
Mrs. Susan G Thornton, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1125 Cambridge Ave E, Greenwood, SC 29646 Phone: 864-941-5563 Fax: 864-941-5536 | |
Mrs. Jerri Lynn Sharpe, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 437 E Cambridge Ave, Greenwood, SC 29646 Phone: 864-223-1950 Fax: 864-330-3001 | |
Allison Gallman, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 115 Academy Ave, Greenwood, SC 29646 Phone: 864-725-7062 |