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

Elizabeth Lane Jackson, OTD

Individual provider Occupational Therapist · NPI 1619801164

Elizabeth Lane Jackson, OTD is an Occupational Therapist in Johnson City, Tennessee. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.

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Practice location Address checks out

2214 E Fairview Ave
Johnson City, TN 37601-2860
Phone: (423) 928-6464
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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 number1619801164
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTD
Sole proprietorNo
NPI enumeratedJune 10, 2026
Last updated in NPPESJune 10, 2026
Certification dateJune 10, 2026

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