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

Simone Jackson, OT

Individual provider Occupational Therapist · NPI 1699543439

Simone Jackson, OT is an Occupational Therapist in Bloomfield Hills, Michigan. Licensed in Michigan. Registered with an NPI since 2023.

Licensed in
MI
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

6405 Telegraph Rd Ste F1
Bloomfield Hills, MI 48301-1775
Phone: (248) 633-2980
Fax: (248) 633-2981
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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 5201014414 (MI)

Record details

NPI number1699543439
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT
Sole proprietorNo
NPI enumeratedDecember 12, 2023
Last updated in NPPESJuly 24, 2026
Certification dateJuly 24, 2026
Mailing address33900 Harper Ave Ste 104, Clinton Twp, MI 48035-4258

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