MR. KEITH R JACKSON OTR/L NPI 1003009937

Occupational Therapist in Leesburg, FL

About KEITH JACKSON

Keith Jackson is a provider in Leesburg, FL. The NPI number assigned to this provider is 1003009937. The practitioner's primary taxonomy code is Occupational Therapist (225X00000X). The provider is registered as an individual and their NPI record was last updated 10 years ago.

NPI1003009937 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameMR. KEITH R JACKSON OTR/L
Provider Location Address600 NORTH BLVD W SUITE D LEESBURG, FL 34748 Additional informationCallout TooltipProvider 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 Address4024 EAGLE RIDGE RD FRUITLAND PARK, FL 34731 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
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).
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. 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.
Enumeration Date08-23-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date08-23-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

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

Mailing Address

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

Primary Taxonomy

Taxonomy Code225X00000X Additional informationCallout TooltipPrimary 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.
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.

Map Location


MR. KEITH R JACKSON OTR/L address is 600 NORTH BLVD W SUITE D LEESBURG, FL 34748

Other Providers at the same location


The following 16 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1144414962MRS. KRISTINA JO DIX PTA
Individual
Physical Therapy Assistant600 NORTH BLVD W SUITE D
LEESBURG, FL 34748
(352) 787-9300
1164886891 CHELSEA JOSEPH COTA
Individual
Occupational Therapy Assistant600 NORTH BLVD W
LEESBURG, FL 34748
(352) 787-9300
1174513428 JOHN A COWIN M.D.
Individual
Orthopaedic Surgery600 NORTH BLVD W SUITE C
LEESBURG, FL 34748
(352) 728-3000
1235378654 SUSAN EVATA SNYDER COTA
Individual
Occupational Therapy Assistant600 NORTH BLVD W
LEESBURG, FL 34748
(352) 728-6636
1265430003REHAB RX CORP
Organization
Clinic/Center (Rehabilitation)600 NORTH BLVD W
LEESBURG, FL 34748
(352) 728-6636
1346230596 CARL O OLLIVIERRE M.D.
Individual
Orthopaedic Surgery600 NORTH BLVD W SUITE C
LEESBURG, FL 34748
(352) 728-3000
1366641797 DONNA LEIGH RIMA PTA
Individual
Physical Therapy Assistant600 NORTH BLVD W SUITE D
LEESBURG, FL 34748
(352) 728-6636
1396735544 HARRY A HUNTT M.D.
Individual
Orthopaedic Surgery600 NORTH BLVD W SUITE C
LEESBURG, FL 34748
(352) 728-3000
1427288208 ELIZABETH ANN FYE PTA
Individual
Physical Therapy Assistant600 NORTH BLVD W
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
1538196613MR. PEDRO ENRIQUE NAVARRO REGISTERED NURSE
Individual
600 NORTH BLVD W SUITE B
LEESBURG, FL 34748
(352) 315-0050
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
1871733717 JAMES RANDALL DOCKHAM COTA
Individual
Occupational Therapy Assistant600 NORTH BLVD W
LEESBURG, FL 34748
(352) 728-6636
1912168170 JENNIFER GOLDSTEIN GELB M. S. CCC-SLP
Individual
Speech-Language Pathologist600 NORTH BLVD W SUITE D
LEESBURG, FL 34748
(352) 728-6636
1992981229MRS. OLWEN LOIS BROOKS OTR/L
Individual
Occupational Therapist600 NORTH BLVD W SUITE D
LEESBURG, FL 34748
(352) 787-9300