IndividualActive
Amanda Jackson, COTA/L
NPI 1427625748 · Occupational Therapy Assistant · Meridian, MS
Provider details
- NPI number
- 1427625748
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- Yes
- License
- TA2871 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
3716 Highway 39 N
Meridian, MS 39301-1013
Phone: (601) 482-7164
Street-level locationGet directions
Mailing address
1822 24th Ave
Meridian, MS 39301-3115
Registry dates
- Enumerated
- 2021-06-06
- Last updated
- 2021-06-06
- Certified
- 2021-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.