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

Michele Mary Jackson, OTR/L

Individual provider Specialist · NPI 1013292929

Michele Mary Jackson, OTR/L is a Specialist in Lockport, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
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

5669 Wendy Cir
Lockport, NY 14094-6015
Phone: (716) 434-4970
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 003569-1 (NY)

Record details

NPI number1013292929
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedOctober 12, 2011
Last updated in NPPESOctober 12, 2011

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