P Praxis·MD
● Active Type 1 · Individual

MS. Sally Jackson, O.T.

Occupational Therapist·Kennesaw, GA· NPI 1538383419 · Enumerated 2007 · 19 years on NPI
Jackson is 1 of 13 occupational therapist providers in Kennesaw and 1 of 516 in Georgia.
NPI age
19 years
Enumerated 2007-04-12
Primary specialty
Occupational Therapist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-08-17
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 516 active occupational therapist providers in Georgia.

NPI age
19 years
↑ 7 yr above median (12 yr)
State licenses
1 state
3% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-04Enumerated in NPPES
2007 2026

Where they practice

Practice location
5150 Stilesboro Rd Nw, Suite 430
Kennesaw, GA 301527744
📞 7706300053fax 7702182201
Mailing address
5150 Stilesboro Rd Nw, Suite 430
Kennesaw, GA 301527744
📞 7706300053fax 7702182201

Specialties

  • Occupational Therapist Primary
    Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life...
    GA license #OT001398 taxonomy 225XP0200X

Identifiers

TypeValueNotes
05 (GA) 000611289C

Practice context

Part of a multi-provider practice. 32 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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