Individual Healthcare Provider
Courtney Jackson
Provider's NPPES record last updated: January 23, 2023
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1043925258
- Primary Specialty
- Occupational Therapy Assistant — Environmental Modification
- Practice Location
- Fayetteville, North Carolina
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 17, 2026, 10:57 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Occupational Therapy Assistant
Environmental Modification
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational therapy assistants provide environmental modifications under the supervision of an occupational therapist. OTAs develop and implement an individualized occupational therapy environmental modification plan that reflects the relevant contexts of the client and relevant others and maximizes current and future occupational performance, safety, and participation of the client. Clients receive environmental modification recommendations and interventions that enable them to meet occupational performance and participation goals and that have adequate flexibility to accommodate for their future needs.
Taxonomy code 224ZE0001X
Provider-Reported License Information
- Occupational Therapy Assistant (North Carolina)
- 13569
Practice Locations
Practice Location
231 Treetop Dr # 301
Fayetteville, North Carolina 28311-0606
Phone: (951) 870-5501
Record Information
- Enumeration Date
- January 23, 2023
- Provider's NPPES Record Last Updated
- January 23, 2023
- Certification Date
- January 22, 2023
- NPISignal NPPES Dataset
- August 2026
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