Courtney Jackson
NPI 1043925258ActiveIndividual· Occupational Therapy Assistant, Environmental Modification· Fayetteville, NC
Occupational Therapy Assistant, Environmental Modification in Fayetteville, North Carolina, licensed in NC, with an NPI issued in January 2023.
Overview
| NPI | 1043925258 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jan 23, 2023 |
| Last updated in NPPES | Jan 23, 2023 |
| Certified by provider | Jan 22, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapy Assistant, Environmental Modification Primary | 224ZE0001X | 13569 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|