Mrs Danica Monique Jackson, MHS, OTR/L | |
620 Tom Hunter Rd, Charlotte, NC 28213-5511 | |
(704) 900-5513 | |
Not Available |
Full Name | Mrs Danica Monique Jackson |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 620 Tom Hunter Rd, Charlotte, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285758326 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 3210 (South Carolina) | Secondary |
225X00000X | Occupational Therapist | 5610 (North Carolina) | Primary |
Provider Name | Paragon Outpatient Rehabilitation Services, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1871867325 PECOS PAC ID: 8022272848 Enrollment ID: O20220822000895 |
Mailing Address | Practice Location Address |
---|---|
Mrs Danica Monique Jackson, MHS, OTR/L 3418 Frostmoor Pl, Charlotte, NC 28269-2172 Ph: (704) 910-2161 | Mrs Danica Monique Jackson, MHS, OTR/L 620 Tom Hunter Rd, Charlotte, NC 28213-5511 Ph: (704) 900-5513 |
Brenda Kennell, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5100 Sharon Rd, Charlotte, NC 28210 Phone: 704-554-4818 Fax: 704-551-0659 | |
Meghan Suntich, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10648 Park Rd, Charlotte, NC 28210 Phone: 704-667-8200 | |
Carissa Faye Crawford, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 703 Almora Dr, Charlotte, NC 28216 Phone: 704-910-7843 | |
Elisabeth Neely Theodossiou, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-4370 | |
Megan Marie Barber, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 13600 S Tryon St, Charlotte, NC 28278 Phone: 704-705-2727 | |
Ms. Sarah Mary Evanko, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4012 Park Rd Ste 200, Charlotte, NC 28209 Phone: 704-541-9080 | |
Madison Taylor O'hara, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7926 Turquoise Dr, Charlotte, NC 28215 Phone: 704-816-9982 |