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

Jeremy Jackson, OTD, OTR/L

Individual provider Pediatric Occupational Therapist · NPI 1063259224

Jeremy Jackson, OTD, OTR/L is a Physical Therapist in Private Practice in Aurora, Colorado. Qualified in 2023, 3 years ago. Licensed in Colorado.

Years since qualifying
3
Licensed in
CO
In the registry since
2024
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.
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

13123 E 16th Ave
Aurora, CO 80045-7106
Phone: (720) 777-1234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence OT.0008110 (CO)

Record details

NPI number1063259224
Entity typeIndividual (Type 1)
GenderMale
Credentials OTD , OTR/L
Sole proprietorNo
NPI enumeratedJuly 13, 2024
Last updated in NPPESJuly 13, 2024
Certification dateJuly 13, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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