Jackie Nickson, OTD, OTR/L
NPI 1356777411 · Occupational Therapist · Horn Lake, MS
Jackie Nickson, OTD, OTR/L is a Occupational Therapist provider in Horn Lake, MS (NPI 1356777411).
Provider details
- NPI number
- 1356777411
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTD, OTR/L
- Sex
- Female
- Sole proprietor
- Yes
- License
- OT1986 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
- Occupational Therapy Assistant224Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Physical Therapy Assistant225200000X
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
12 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
- 2013-09-20
- Last updated
- 2014-01-12
Frequently asked questions
- What is Jackie Nickson's NPI number?
- Jackie Nickson's National Provider Identifier (NPI) is 1356777411, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackie Nickson's specialty?
- Jackie Nickson is listed in the NPPES registry with a primary specialty of Occupational Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jackie Nickson located?
- Jackie Nickson's practice location on file with NPPES is 6664 Sinclair Dr, Horn Lake, MS 38637-2598.
- What is Jackie Nickson's phone number?
- The practice phone number listed in the NPPES registry for Jackie Nickson is (901) 230-4982.
- Is Jackie Nickson's NPI active?
- Yes — Jackie Nickson's NPI (1356777411) is active in the NPPES registry as of the last update on 2014-01-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.