MR. KEITH R JACKSON OTR/L NPI 1003009937
Occupational Therapist in Leesburg, FL

About MR. KEITH R JACKSON OTR/L

Keith Jackson is a provider established in Leesburg, Florida and his medical specialization is Occupational Therapist. The NPI number of this provider 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 16 years ago.

NPI
1003009937
Provider NameMR. KEITH R JACKSON OTR/L
Location Address600 NORTH BLVD W SUITE D LEESBURG, FL 34748
Location Phone(352) 787-9300
Mailing Address4024 EAGLE RIDGE RD FRUITLAND PARK, FL 34731
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date08-23-2007
Last Update Date08-23-2007


Primary Taxonomy

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.

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

600 NORTH BLVD W
SUITE D
LEESBURG, FL
ZIP 34748
Phone: (352) 787-9300

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Mailing Address

4024 EAGLE RIDGE RD
FRUITLAND PARK, FL
ZIP 34731


Location Map

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003009937
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003001896
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 0 + 1 + 8 + 9 + 6 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1003009937 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

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

Frequently Asked Questions

What is Mr. Keith Jackson OTR/L NPI number?

The NPI number assigned to this healthcare provider is 1003009937, registered as an "individual" on August 23, 2007

Where is Mr. Keith Jackson OTR/L located?

The provider is located at 600 North Blvd W Suite D Leesburg, Fl 34748 and the phone number is (352) 787-9300

Which is Mr. Keith Jackson OTR/L specialty?

The provider's speciality is Occupational Therapist

How do I update my NPI information?

The NPI record of Mr. Keith Jackson OTR/L was last updated on August 23, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.