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MRS. CAROL ANNE JACKSON OTA
NPI 1386370351
Physical Medicine & Rehabilitation - Sports Medicine in Ocklawaha, FL

Active since August 01, 2022
10710 SE 160TH COURT RD, OCKLAWAHA, FL 32179(352) 750-6619 Get Directions Write a Review

NPPES record last updated: August 1, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Carol Anne Jackson Ota NPPES

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

MRS. CAROL ANNE JACKSON OTA (NPI 1386370351) is an individual sports medicine provider in Ocklawaha, Florida, licensed in Florida (FLOTA8013) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1386370351
Entity TypeIndividualFemale
Primary Taxonomy2081S0010X
Provider Legal NameMRS. CAROL ANNE JACKSONCredential: OTA
Location Address10710 SE 160TH COURT RDOcklawaha, FL 32179-8906
Mailing Address10710se160th Ct RdOcklawaha, FL 32179 · (352) 804-2231
Phone(352) 750-6619
Sole ProprietorYes
Enumeration DateAugust 1, 2022
NPPES CertifiedJuly 21, 2022
✔ NPI 1386370351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
License✔ Licensed in FL · FLOTA8013
Definition
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
10710 SE 160TH COURT RD, Ocklawaha, FL 32179
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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 Carol Jackson's NPI number?

The NPI number for Carol Jackson is 1386370351. It was assigned to this individual provider in the NPPES registry on August 1, 2022.

Where is Carol Jackson located?

Carol Jackson practices at 10710 SE 160th Court Rd, Ocklawaha, FL 32179. The listed phone number is (352) 750-6619.

What is Carol Jackson's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

When was this NPI record last updated?

The NPPES record for Carol Jackson was last updated on August 1, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.