MR. KEENAN JACKSON OT
NPI 1073856779
Occupational Therapist in Albuquerque, NM

NPI Status: Active since April 01, 2013

Contact Information

6301 FOREST HILLS DR NE
ALBUQUERQUE, NM
ZIP 87109
Phone: (505) 823-8399
Fax: (505) 823-8324

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  • Individual
  • Male
  • Occupational Therapist

About KEENAN JACKSON

This page provides the complete NPI Profile along with additional information for Keenan Jackson, a provider established in Albuquerque, New Mexico with a medical specialization in Occupational Therapist. The healthcare provider is registered in the NPI registry with number 1073856779 assigned on April 2013. The practitioner's primary taxonomy code is 225X00000X with license number 3031 (NM). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1073856779
Provider Name
MR. KEENAN JACKSON OT
Gender
Male
Entity Type
Individual
Location Address
6301 FOREST HILLS DR NE ALBUQUERQUE, NM 87109
Location Phone
(505) 823-8399
Location Fax
(505) 823-8324
Mailing Address
6301 FOREST HILLS DR NE ALBUQUERQUE, NM 87109
Mailing Phone
(505) 823-8399
Mailing Fax
(505) 823-8324
Is Sole Proprietor?
No
Enumeration Date
04-01-2013
Last Update Date
04-01-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Occupational Therapist

Taxonomy Code
225X00000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
3031
License State
NM
Taxonomy Description
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1073856779
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2014316512714
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 4 + 3 + 1 + 6 + 5 + 1 + 2 + 7 + 1 + 4 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1073856779 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1477629459 DEANA T HARTWIG PTA
Individual
Physical Therapy Assistant6301 FOREST HILLS DR NE
ALBUQUERQUE, NM 87109
(505) 823-8350
1679782296 LYNN DOROTHY BURNS OTR
Individual
Occupational Therapist6301 FOREST HILLS DR NE
ALBUQUERQUE, NM 87109
(505) 823-8338
1154531986MR. JAYSON NELSON HELM PT
Individual
Physical Therapist6301 FOREST HILLS DR NE
ALBUQUERQUE, NM 87109
(505) 823-8350
1114299427 JACQUELINE ANN CARR P.T.
Individual
Physical Therapist6301 FOREST HILLS DR NE
ALBUQUERQUE, NM 87109
(505) 823-8300
1952675647MS. ANN SOCKACI RD, CDE
Individual
Dietitian, Registered6301 FOREST HILLS DR NE
ALBUQUERQUE, NM 87109
(505) 823-8343
1588921753MRS. JAMIE LYNN WILHELM DPT
Individual
Physical Therapist6301 FOREST HILLS DR NE
ALBUQUERQUE, NM 87109
(505) 823-8350
1366709537 STEVEN ROBERT SAAL PT
Individual
Physical Therapist6301 FOREST HILLS DR NE
ALBUQUERQUE, NM 87109
(505) 923-6400
1730437302 RYAN COUFAL PT
Individual
Physical Therapist6301 FOREST HILLS DR NE
ALBUQUERQUE, NM 87109
(505) 823-8399
1467791137 MARY E CLINE PT
Individual
Physical Therapist6301 FOREST HILLS DR NE
ALBUQUERQUE, NM 87109
(505) 873-8300
1649510413 HELEN SENESAC PT
Individual
Physical Therapist6301 FOREST HILLS DR NE PRESBYTERIAN HEALTHPLEX
ALBUQUERQUE, NM 87109
(505) 823-8399
1942635834 PRATIBHA ANIL NIRGUDKAR OTR
Individual
Occupational Therapist6301 FOREST HILLS DR NE PRESBYTERIAN HEALTHPLEX
ALBUQUERQUE, NM 87109
(505) 823-8399
1902205644 STEPHANIE HINES PT
Individual
Physical Therapist6301 FOREST HILLS DR NE
ALBUQUERQUE, NM 87109
(505) 823-8399
1629465364 MICHELE DESSALET MS PT
Individual
Physical Therapist6301 FOREST HILLS DR NE
ALBUQUERQUE, NM 87109
(505) 823-8399

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073856779, enumerated in the NPI registry as an "individual" on April 01, 2013

The provider is located at 6301 Forest Hills Dr Ne Albuquerque, Nm 87109 and the phone number is (505) 823-8399

The provider's speciality is Occupational Therapist with taxonomy code 225X00000X

This NPI record was last updated on April 01, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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