P Praxis·MD
● Active Type 1 · Individual

Tashata Re'Kal Jackson, COTA

Occupational Therapy Assistant·Kilgore, TX· NPI 1053892604 · Enumerated 2018 · 7 years on NPI
Jackson is 1 of 4 occupational therapy assistant providers in Kilgore and 1 of 4246 in Texas.
NPI age
7 years
Enumerated 2018-08-22
Primary specialty
Occupational Therapy Assistant
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-08-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 4246 active occupational therapy assistant providers in Texas.

NPI age
7 years
≈ at median (7 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
4% of peers hold subspecialties

NPI lifetime · 2018 → 2026

2018-08Enumerated in NPPES
2018 2026

Where they practice

Practice location
2700 S Henderson Blvd
Kilgore, TX 756624033
📞 9039843511
Mailing address
6860 Dallas Pkwy Ste 550
Plano, TX 750244252
📞 9039843511

Specialties

  • Occupational Therapy Assistant Primary
    An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has...
    TX license #212080 taxonomy 224Z00000X

Practice context

Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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