Ryan Jackson, COTA/L
NPI 1164989257 · Occupational Therapy Assistant · Itasca, IL
Ryan Jackson, COTA/L is a Occupational Therapy Assistant provider in Itasca, IL (NPI 1164989257).
Provider details
- NPI number
- 1164989257
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- No
- License
- 057005112 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-02-25
- Last updated
- 2019-02-25
Frequently asked questions
- What is Ryan Jackson's NPI number?
- Ryan Jackson's National Provider Identifier (NPI) is 1164989257, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ryan Jackson's specialty?
- Ryan Jackson is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Ryan Jackson located?
- Ryan Jackson's practice location on file with NPPES is 535 S Elm St, Itasca, IL 60143-2187.
- What is Ryan Jackson's phone number?
- The practice phone number listed in the NPPES registry for Ryan Jackson is (630) 773-9416.
- Is Ryan Jackson's NPI active?
- Yes — Ryan Jackson's NPI (1164989257) is active in the NPPES registry as of the last update on 2019-02-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.