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

Mary Jackson

Individual provider Occupational Therapist · NPI 1053777888

Mary Jackson is an Occupational Therapist in Raleigh, North Carolina. Licensed in North Carolina and Pennsylvania. Registered with an NPI since 2016.

Licensed in
NC, PA
In the registry since
2016
Specialties on file
2

Practice location Address checks out

316 Shepherd St
Raleigh, NC 27607-4032
Phone: (919) 219-5653
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 13329 (NC)
Occupational Therapist Taxonomy 225X00000X · Licence OC020803 (PA)

Record details

NPI number1053777888
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 8, 2016
Last updated in NPPESJuly 29, 2025
Certification dateJuly 29, 2025

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