KIMBERLY JACKSON OTR/L
NPI 1376104851
Occupational Therapist in Daytona Beach, FL

Active since June 25, 2019
1219 DUNN AVE, DAYTONA BEACH, FL 32114(386) 255-4568 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly Jackson Otr/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY JACKSON OTR/L (NPI 1376104851) is an individual occupational therapist in Daytona Beach, Florida, licensed in Florida (19785) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1376104851
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameKIMBERLY JACKSONCredential: OTR/L
Location Address1219 DUNN AVEDaytona Beach, FL 32114-2405
Mailing Address6088 Summerlake DrPort Orange, FL 32127-7254 · (253) 961-7303
Sole ProprietorYes
Enumeration DateJune 25, 2019
Last NPPES UpdateJuly 10, 2024
NPPES CertifiedJuly 2, 2024
NPI 1376104851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in FL · 19785
Definition
An 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.
1219 DUNN AVE, Daytona Beach, FL 32114

Other Names 1

Former Name (1)Kimberly Conder

Accepted Insurance

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.

Physical Therapist
1219 DUNN AVE
DAYTONA BEACH, FL 32114
Occupational Therapy Assistant
1219 DUNN AVE
DAYTONA BEACH, FL 32114
Assistant Behavior Analyst
1219 DUNN AVE
DAYTONA BEACH, FL 32114
Behavior Technician
1219 DUNN AVE
DAYTONA BEACH, FL 32114
Behavior Technician
1219 DUNN AVE
DAYTONA BEACH, FL 32114
Occupational Therapist
1219 DUNN AVE
DAYTONA BEACH, FL 32114
Early Intervention Provider Agency
1219 DUNN AVE
DAYTONA BEACH, FL 32114
Pediatrics (Pediatric Cardiology)
1219 DUNN AVE
DAYTONA BEACH, FL 32114

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 Kimberly Jackson's NPI number?

The NPI number for Kimberly Jackson is 1376104851. It was assigned to this individual provider in the NPPES registry on June 25, 2019. The provider is also known as Kimberly Conder.

Where is Kimberly Jackson located?

Kimberly Jackson practices at 1219 Dunn Ave, Daytona Beach, FL 32114. The listed phone number is (386) 255-4568.

What is Kimberly Jackson's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

What insurance does Kimberly Jackson accept?

Health plans from Molina Healthcare list Kimberly 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 Kimberly Jackson was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.