Kelly Jackson, PT, DPT

ActiveIndividual ProviderPhysical Therapy
NPI issued: September 12, 2017

Quick Facts

NPI Number
1053830968
TypeIndividual
StatusActive
SpecialtyPhysical Therapy
Taxonomy2251X0800X — Physical Therapy
Phone
(503) 813-2000
StateOR

NPI Validation Status: Verified

Valid 10-digit NPI number (1053830968)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (September 12, 2017)
Data source: CMS NPPES

Provider Overview

KELLY JACKSON, PT, DPT is a Physical Therapy provider based in Clackamas, OR who has been registered with CMS since 2017. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1053830968
Provider TypeIndividual Provider
GenderFemale
CredentialPT, DPT
StatusActive
Enumeration DateSeptember 12, 2017

Practice Location

CityClackamas
StateOR
ZIP Code97015-8970
Phone(503) 813-2000

Specialties & Licenses

★ Primary
SpecialtyPhysical Therapy
Taxonomy Code2251X0800X
License StateOR

Mailing Address

CityClackamas
StateOR
ZIP Code97015-8970
Phone(503) 813-2000
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1053830968 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1053830968for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1053830968 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Physical Therapy

Specialists in Physical Therapy provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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12,325
Physical Therapy Providers in the US

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People Also Ask

What is Kelly Jackson's NPI number?
Kelly Jackson's NPI number is 1053830968, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Kelly Jackson's NPI currently active?
Yes, Kelly Jackson's NPI status is Active as of the latest CMS NPPES database updates.
What does Kelly Jackson specialize in?
Kelly Jackson specializes in Physical Therapy. The healthcare taxonomy code associated with this specialty is 2251X0800X.
Where does Kelly Jackson practice?
Kelly Jackson practices in Clackamas, OR 97015-8970.
When was Kelly Jackson's NPI issued?
Kelly Jackson's NPI was issued on September 12, 2017.
What is Kelly Jackson's provider type?
Kelly Jackson is registered as an Individual Provider under CMS NPI Type 1.