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

Sandra Dee Jackson

Individual provider Occupational Therapist · NPI 1033056767

Sandra Dee Jackson is an Occupational Therapist in Private Practice in Rogers, Arkansas. Qualified in 1994, 32 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
32
Licensed in
AR
In the registry since
2026
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Practice location Address checks out

5522 W Northgate Rd
Rogers, AR 72758-2017
Phone: (479) 622-8183
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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 OTR4055 (AR)

Record details

NPI number1033056767
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 30, 2026
Last updated in NPPESApril 30, 2026
Certification dateApril 30, 2026
Mailing address22 Allendale Dr, Bella Vista, AR 72714-5218

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Legacy Healthcare Services Inc — 3624 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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