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

Individual provider Occupational Therapist · NPI 1184381337

Spencer Jackson, OTR/L is an Occupational Therapist in Private Practice in Grand Rapids, Michigan. Qualified in 2024, 2 years ago. Practices with Mary Free Bed Rehabilitation Hospital, a 132-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
2
Licensed in
MI
In the registry since
2021
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

6333 Kalamazoo Ave SE Ste 600
Grand Rapids, MI 49508-7858
Phone: (616) 649-1577
Fax: (616) 710-3019
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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 5201013949 (MI)

Record details

NPI number1184381337
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedNovember 23, 2021
Last updated in NPPESOctober 3, 2025
Certification dateOctober 3, 2025

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Mary Free Bed Rehabilitation Hospital — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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