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

Charity Noel Jackson

Individual provider Occupational Therapist · NPI 1932807120

Charity Noel Jackson is an Occupational Therapist in Private Practice in Batavia, Illinois. Qualified in 2019, 7 years ago. Practices with Functional Pathways Preferred of Tennessee LLC, a 192-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
7
In the registry since
2023
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Practice location Address checks out

831 N Batavia Ave
Batavia, IL 60510-2198
Phone: (630) 879-4106
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1932807120
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 17, 2023
Last updated in NPPESApril 3, 2026
Certification dateApril 3, 2026
Mailing address580 Whitehall Way, Bolingbrook, IL 60440-1027

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Functional Pathways Preferred Of Tennessee Llc — 192 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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