Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. Darryl Raynor Jackson Jr.

Occupational Therapy Assistant in Hannibal, MO · enumerated 2012.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205198025

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Registry record

Entity type Individual (Type 1)

Name Mr. Darryl Raynor Jackson Jr.

Sex Male

Practice address 1734 Market St, Hannibal, MO, 63401

Phone (573) 629-0321

Enumeration date Jun 8, 2012

Last updated in NPPES Jun 8, 2012

Taxonomy & licenses

224Z00000X Occupational Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 201000472 (MO) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1205198025 active?

Yes, as of the latest NPPES snapshot, NPI 1205198025 is active (record last updated 2012-06-08).

How do I verify Darryl Jackson's NPI record?

Cross-check NPI 1205198025 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-06-08.