| Briyana J Jackson, OTR/L | |
|
101 N Plain Rd, Jacksonville, NC 28546-6760 | |
| (910) 298-2331 | |
| (910) 375-3031 |
| Full Name | Briyana J Jackson |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 101 N Plain Rd, Jacksonville, 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 |
|---|---|---|---|
| 1124757463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 0119009500 (Virginia) | Secondary |
| 225X00000X | Occupational Therapist | 15540 (North Carolina) | Primary |
| Provider Name | Advantage Ot Inc. |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1962717025 PECOS PAC ID: 4981841582 Enrollment ID: O20130517000317 |
| Mailing Address | Practice Location Address |
|---|---|
| Briyana J Jackson, OTR/L 600 Stillwater Landing Way Apt 207, Sneads Ferry, NC 28460-6931 Ph: (434) 579-3386 | Briyana J Jackson, OTR/L 101 N Plain Rd, Jacksonville, NC 28546-6760 Ph: (910) 298-2331 |
Carly Rochelle Maready, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 101 N Plain Rd, Jacksonville, NC 28546 Phone: 910-502-8738 | |
Andrea Corrales Emerick, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 N Plain Rd, Jacksonville, NC 28546 Phone: 910-298-2331 | |
Kali Furry Vanderpool, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 103 N Plain Rd, Jacksonville, NC 28546 Phone: 910-298-2331 | |
Ashley F Mauk, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 303 Tundra Pl, Jacksonville, NC 28540 Phone: 540-577-8785 | |
Speech 4 Kidz Inc. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 58 Office Park Dr, Jacksonville, NC 28546 Phone: 910-353-2440 Fax: 910-313-0951 | |
Alicia Sakran, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 3020 Henderson Dr, Jacksonville, NC 28546 Phone: 910-484-1711 |