IndividualActive
Vashon Jackson, OT
NPI 1619217536 · Occupational Therapist · Charlotte, NC
Provider details
- NPI number
- 1619217536
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OT
- Sex
- Female
- Sole proprietor
- No
- License
- 13891 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
309 E Morehead St Ste 200
Charlotte, NC 28202-2325
Phone: (704) 285-7471
Fax: (800) 506-5309
Street-level locationGet directions
Mailing address
132 Palm Cir
Melbourne, FL 32940-7208
Registry dates
- Enumerated
- 2013-03-01
- Last updated
- 2013-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.