| Jackson Hand And Upper Extremity | |
|
1904 Lakeland Dr, Suite D, Jackson, MS 39216-5038 | |
| (601) 942-2709 | |
| (601) 944-9780 |
| Full Name | Jackson Hand And Upper Extremity |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist - Hand |
| Location | 1904 Lakeland Dr, Jackson, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154753986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT0987 (Mississippi) | Secondary |
| 225XH1200X | Occupational Therapist - Hand | 45OT073 (Mississippi) | Primary |
| Provider Name | Robyn A Roberts |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265872501 PECOS PAC ID: 1850526542 Enrollment ID: I20131105001802 |
| Provider Name | Robyn A Roberts |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265872501 PECOS PAC ID: 1850526542 Enrollment ID: I20170822001208 |
| Provider Name | Rachel K Dear |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548435076 PECOS PAC ID: 3173895083 Enrollment ID: I20170826000134 |
| Provider Name | Sherry Hager |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326757964 PECOS PAC ID: 8820452519 Enrollment ID: I20230913003855 |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Hand And Upper Extremity 1904 Lakeland Dr, Suite D, Jackson, MS 39216-5038 Ph: (601) 942-2709 | Jackson Hand And Upper Extremity 1904 Lakeland Dr, Suite D, Jackson, MS 39216-5038 Ph: (601) 942-2709 |
Barbara A Wiggins, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13 Northtown Dr, Suite 110 Trinity Rehab, Jackson, MS 39211 Phone: 601-206-9195 Fax: 601-957-8391 | |
Dayna Michelle Lombas, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13 Northtown Dr, Trinity Rehab Suite 110, Jackson, MS 39211 Phone: 601-206-9195 Fax: 601-957-8391 | |
Jamie M Austin, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4500 I 55 N, Suite 291, Highland Village, Jackson, MS 39211 Phone: 601-362-0859 | |
Mrs. Sallie Gardner Metcalf, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1225 N State St Ste 210, Jackson, MS 39202 Phone: 662-242-0377 | |
Niesha Lasha Gilmore, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 519 Scott St, Jackson, MS 39203 Phone: 601-951-7458 | |
Dr. Cozetta Marie Mcmillian, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 107 Meadow Ln, Jackson, MS 39212 Phone: 601-209-6453 | |
Autumn B Tamor, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1417 Lelia Dr, Jackson, MS 39216 Phone: 601-551-5612 |