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

Samone J Jackson, OT

Individual provider Occupational Therapist · NPI 1679348874

Samone J Jackson, OT is an Occupational Therapist in Private Practice in Hoover, Alabama. Qualified in 2014, 12 years ago. Practices with Magic City Physical Therapy, a 4-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
12
Licensed in
AL
In the registry since
2023
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

3075 John Hawkins Pkwy Ste N-O
Hoover, AL 35244-1085
Phone: (205) 202-0874
Fax: (205) 573-3709
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 4021 (AL)

Record details

NPI number1679348874
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT
Sole proprietorNo
NPI enumeratedNovember 17, 2023
Last updated in NPPESNovember 17, 2023
Certification dateNovember 17, 2023
Mailing address3075 John Hawkins Pkwy Ste N-O, Hoover, AL 35244-1085

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Magic City Physical Therapy — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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