KELLY ELIZABETH JACKSON PT, DPT
NPI 1053830968
Physical Therapist - Orthopedic in Clackamas, OR
About Kelly Elizabeth Jackson Pt, Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY ELIZABETH JACKSON PT, DPT (NPI 1053830968) is an individual orthopedic provider in Clackamas, Oregon, licensed in Oregon (62508) and active in the NPI registry since September 2017. She is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kelly Elizabeth Jackson Pt, Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kelly Jackson's NPI number?
The NPI number for Kelly Jackson is 1053830968. It was assigned to this individual provider in the NPPES registry on September 12, 2017.
Where is Kelly Jackson located?
Kelly Jackson practices at 10100 SE Sunnyside Rd, Clackamas, OR 97015. The listed phone number is (503) 813-2000.
What is Kelly Jackson's specialty?
The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.
Is Kelly Jackson enrolled in Medicare?
Yes. Kelly Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Kelly Jackson accept?
Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Kelly Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kelly Jackson was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kelly Elizabeth Jackson, PT, DPT · NPI 1053830968
Orthopedic provider in Clackamas, Oregon. Individual provider, active in the CMS NPPES registry since September 12, 2017.
## Identity
- **NPI:** 1053830968 (Entity type: Individual)
- **Enumerated:** September 12, 2017
- **Primary specialty:** Physical Therapist - Orthopedic · taxonomy 2251X0800X
- **State license:** 62508 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 10100 SE SUNNYSIDE RD, Clackamas, OR 97015-8970
- **Phone:** (503) 813-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** March 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1053830968) · Data from the CMS NPPES public registry.