TRACEY JACKSON – Occupational Therapist, NPI 1174948038

TRACEY JACKSON is a healthcare provider. based in Springfield, Ohio. specializing in Occupational Therapist. They hold a License No. OT-002875 (OH). The NPI Number for TRACEY JACKSON is 1174948038

Main info

Female
Name
TRACEY JACKSON
NPI
1174948038
Phone
(937) 206-3628
Address
1060 MONTEGO DR
Enumeration Date
28 February 2014
Last Update Date
28 February 2014
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

Provider Addresses for TRACEY JACKSON

  • 1060 MONTEGO DR

    SPRINGFIELD, OH 455036243

    Phone: (937) 206-3628

    Type: Mailing

  • 4801 SPRINGFIELD ST

    DAYTON, OH 454311084

    Phone: (937) 236-9969

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45503)

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Reviews

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Frequently asked questions

How do payers reference TRACEY JACKSON?
For TRACEY JACKSON, use NPI 1174948038 as the unique 10-digit identifier.
Active or inactive — what applies to TRACEY JACKSON?
You should see TRACEY JACKSON as active in CMS-hosted NPPES data.
What expertise is attributed to TRACEY JACKSON?
TRACEY JACKSON's specialty line reads Occupational Therapist. Clinical services aligned with this taxonomy classification.
Is TRACEY JACKSON located near Springfield?
TRACEY JACKSON currently maps to Springfield, Ohio in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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