Individual provider · Type 1 NPI

Elizabeth Lane Jackson, OTD

Occupational Therapist · Johnson City, TN

NPI number 1619801164 Active

Practice location

2214 E Fairview Ave
Johnson City, TN 37601-2860

Call (423) 928-6464 Map

Mailing address

1185 W Mountain View Rd Apt 2313
Johnson City, TN 37604-2539

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XNone listed

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1619801164

Elizabeth Lane Jackson, OTD's National Provider Identifier is 1619801164, issued on Jun 10, 2026. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Johnson City, TN. The record was last updated on Jun 10, 2026.