Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Annie Jackson, OTR/L

Individual provider Occupational Therapist · NPI 1134879422

Annie Jackson, OTR/L is an Occupational Therapist in Wyoming, Michigan. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

5722 Metro Way SW Ste B
Wyoming, MI 49519-9524
Phone: (616) 840-7529
Fax: (616) 840-9693
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 235 Wealthy St Se, Grand Rapids, MI 49503-5247 — (616) 840-8000

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1134879422
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedMarch 28, 2022
Last updated in NPPESDecember 22, 2023
Certification dateDecember 22, 2023
Mailing address235 Wealthy St Se, Grand Rapids, MI 49503-5247

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