| Ms Lucia Jackson, LOT, CHT | |
|
1620 Highway 11 N Ste C, Picayune, MS 39466-2070 | |
| (769) 242-2626 | |
| Not Available |
| Full Name | Ms Lucia Jackson |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1620 Highway 11 N Ste C, Picayune, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932579380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 4216 (Mississippi) | Secondary |
| 225X00000X | Occupational Therapist | OTT.Z10872 (Louisiana) | Primary |
| Provider Name | Bellevue Physical Therapy Inc Ps |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1700952611 PECOS PAC ID: 5395658793 Enrollment ID: O20031111000651 |
| Provider Name | Therapy Management Services Pllc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1710330378 PECOS PAC ID: 0143500983 Enrollment ID: O20161213001176 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Lucia Jackson, LOT, CHT 7918 Ewa Ct, Diamondhead, MS 39525-3604 Ph: (504) 838-6027 | Ms Lucia Jackson, LOT, CHT 1620 Highway 11 N Ste C, Picayune, MS 39466-2070 Ph: (769) 242-2626 |
Mrs. Rosary Bahman Voorhies, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3008 Woods Rd, Picayune, MS 39466 Phone: 504-717-5972 | |
Casey Lafontaine, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1620 Highway 11 N Ste C, Picayune, MS 39466 Phone: 769-242-2626 Fax: 769-242-2685 | |
Functional Therapy Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 311 N Main St, Picayune, MS 39466 Phone: 601-799-4065 Fax: 601-620-4117 | |
Mrs. Stacey S Vollenweider, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 311 N Main St, Picayune, MS 39466 Phone: 601-799-4065 Fax: 601-620-4117 | |
Amber Lupo, OTD/S Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1620 Highway 11 N Ste C, Picayune, MS 39466 Phone: 769-242-2626 Fax: 769-242-2685 | |
Mrs. Sara C Braddy, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 311 N Main St, Picayune, MS 39466 Phone: 601-799-4065 Fax: 601-620-4117 | |
Lisa Richardson Hesson, OTR-L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 722 W Canal St, Picayune, MS 39466 Phone: 601-799-4065 Fax: 601-799-4064 |