MR. KEITH R JACKSON OTR/L NPI 1003009937

Occupational Therapist in Leesburg, FL

NPI 1003009937 Individual Male Occupational Therapist

About KEITH JACKSON

Keith Jackson is a provider established in Leesburg, Florida and his medical specialization is occupational therapist. The NPI number of Keith Jackson is 1003009937 and was assigned on August 2007. The practitioner's primary taxonomy code is 225X00000X with license number OT9471 (FL). The provider is registered as an individual and his NPI record was last updated 14 years ago.

Keith Jackson is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1003009937

Provider NameMR. KEITH R JACKSON OTR/L
Provider Location Address600 NORTH BLVD W SUITE D LEESBURG, FL 34748
Provider Mailing Address4024 EAGLE RIDGE RD FRUITLAND PARK, FL 34731
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date08-23-2007
Last Update Date08-23-2007


Primary Taxonomy

Taxonomy Code225X00000X
ClassificationOccupational Therapist
TypeRespiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.OT9471
License StateFL
Taxonomy DescriptionAn 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 experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

Business Address

MR. KEITH R JACKSON OTR/L
600 NORTH BLVD W
SUITE D
LEESBURG, FL
ZIP 34748
Phone: (352) 787-9300

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Mailing Address

MR. KEITH R JACKSON OTR/L
4024 EAGLE RIDGE RD
FRUITLAND PARK, FL
ZIP 34731
Phone:



Other Providers at the same location


The following 15 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1265430003REHAB RX CORP
Organization
Clinic/Center (Rehabilitation)600 NORTH BLVD W
LEESBURG, FL 34748
(352) 728-6636
1174513428 JOHN A COWIN M.D.
Individual
Orthopaedic Surgery600 NORTH BLVD W SUITE C
LEESBURG, FL 34748
(352) 728-3000
1346230596 CARL O OLLIVIERRE M.D.
Individual
Orthopaedic Surgery600 NORTH BLVD W SUITE C
LEESBURG, FL 34748
(352) 728-3000
1396735544 HARRY A HUNTT M.D.
Individual
Orthopaedic Surgery600 NORTH BLVD W SUITE C
LEESBURG, FL 34748
(352) 728-3000
1538196613MR. PEDRO ENRIQUE NAVARRO REGISTERED NURSE
Individual
Registered Nurse (Administrator)600 NORTH BLVD W SUITE B
LEESBURG, FL 34748
(352) 315-0050
1144414962MRS. KRISTINA JO DIX PTA
Individual
Physical Therapy Assistant600 NORTH BLVD W SUITE D
LEESBURG, FL 34748
(352) 787-9300
1235378654 SUSAN EVATA SNYDER COTA
Individual
Occupational Therapy Assistant600 NORTH BLVD W
LEESBURG, FL 34748
(352) 728-6636
1871733717 JAMES RANDALL DOCKHAM COTA
Individual
Occupational Therapy Assistant600 NORTH BLVD W
LEESBURG, FL 34748
(352) 728-6636
1427288208 ELIZABETH ANN FYE PTA
Individual
Physical Therapy Assistant600 NORTH BLVD W
LEESBURG, FL 34748
(352) 728-6636
1639409246MS. ERIN MARIE BRECHEEN PTA
Individual
Physical Therapy Assistant600 NORTH BLVD W
LEESBURG, FL 34748
(352) 728-6636
1700163052MISS JACQUELINE CHRISTINE DELANEY PTA
Individual
Physical Therapy Assistant600 NORTH BLVD W SUITE D
LEESBURG, FL 34748
(352) 728-6636
1487926150 ANGELA KRISTINE HACKEROTT PTA
Individual
Physical Therapy Assistant600 NORTH BLVD W SUITE D
LEESBURG, FL 34748
(352) 728-6636
1366641797 DONNA LEIGH RIMA PTA
Individual
Physical Therapy Assistant600 NORTH BLVD W SUITE D
LEESBURG, FL 34748
(352) 728-6636
1164886891 CHELSEA JOSEPH COTA
Individual
Occupational Therapy Assistant600 NORTH BLVD W
LEESBURG, FL 34748
(352) 787-9300
1912168170 JENNIFER GOLDSTEIN GELB M. S. CCC-SLP
Individual
Speech-Language Pathologist600 NORTH BLVD W SUITE D
LEESBURG, FL 34748
(352) 728-6636

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.