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Gina Jacobson, OTR/L

Occupational Therapist in Fairfield, CT. Individual provider (NPI-1).

NPI number1750855367
StatusActive
Last updated in NPPESAug 6, 2025

Details

NPI
1750855367
Entity type
Individual (NPI-1)
Name
Gina Jacobson
Credential
OTR/L
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 16, 2019
Certification date
Aug 6, 2025
Last updated
Aug 6, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist004206CTYes

Practice location

55 Walls Dr Ste 204
Fairfield, CT 06824-5163

Phone 203-255-0682

Mailing address

52 Sterling Rd
Trumbull, CT 06611-2302

Phone 203-581-4120

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Occupational Therapist providers in Fairfield, CT

All 76 Occupational Therapist providers in Fairfield · All 1,933 providers in Fairfield

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