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JACKIE J KINGMA DPT, ATC, PA-C, PT
NPI 1396718060
Physical Therapist - Orthopedic in Bloomington, IN

Active since February 10, 2006
1025 E 7TH ST, HPER C202, BLOOMINGTON, IN 47405(812) 855-1233 Get Directions Write a Review

NPPES record last updated: October 15, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackie J Kingma Dpt, Atc, Pa-c, Pt NPPES

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

JACKIE J KINGMA DPT, ATC, PA-C, PT (NPI 1396718060) is an individual orthopedic provider in Bloomington, Indiana, licensed in Indiana (05009744A) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1396718060
Entity TypeIndividualFemale
Primary Taxonomy2251X0800X
Provider Legal NameJACKIE J KINGMACredential: DPT, ATC, PA-C, PT
Location Address1025 E 7TH ST, HPER C202Bloomington, IN 47405-7109
Mailing Address1025 E 7th St, Hper C202Bloomington, IN 47405 · (812) 855-1233
Phone(812) 855-1233
Sole ProprietorNo
Enumeration DateFebruary 10, 2006
Last NPPES UpdateOctober 15, 2012
✔ NPI 1396718060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in IN · 05009744A
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X · License 36001566A (IN)
Also ListedPhysician AssistantTaxonomy 363A00000X
1025 E 7TH ST, Bloomington, IN 47405
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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.

MAGGIE LOWENHAR
Specialist/Technologist (Athletic Trainer)
1025 E 7TH ST
BLOOMINGTON, IN 47405
Monroe County (574) 344-9600
EMMA BRUCE
Student in an Organized Health Care Education/Training Program
1025 E 7TH ST
BLOOMINGTON, IN 47405
Monroe County (915) 253-5471
HANNAH LEYBA
Student in an Organized Health Care Education/Training Program
1025 E 7TH ST
BLOOMINGTON, IN 47405
Monroe County (815) 855-1561
CHRISTOPHER THOMPSON LAT, ATC
Specialist/Technologist (Athletic Trainer)
1025 E 7TH ST
BLOOMINGTON, IN 47405
Monroe County (925) 914-7226
MR. JORDAN SCOTT SMUTS ATC
Specialist/Technologist (Athletic Trainer)
1025 E 7TH ST
BLOOMINGTON, IN 47405
Monroe County (812) 855-1561
ELISA MCKINLEY
Student in an Organized Health Care Education/Training Program
1025 E 7TH ST
BLOOMINGTON, IN 47405
Monroe County (812) 855-1561
AVERY ROBERT HUGHES MSAT, ATC
Specialist/Technologist (Athletic Trainer)
1025 E 7TH ST
BLOOMINGTON, IN 47405
Monroe County (812) 856-2773
JONATHAN KOJI HAMMOND
Specialist/Technologist (Athletic Trainer)
1025 E 7TH ST
BLOOMINGTON, IN 47405
Monroe County (812) 856-2773

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 Jackie Kingma's NPI number?

The NPI number for Jackie Kingma is 1396718060. It was assigned to this individual provider in the NPPES registry on February 10, 2006.

Where is Jackie Kingma located?

Jackie Kingma practices at 1025 E 7th St Hper C202, Bloomington, IN 47405. The listed phone number is (812) 855-1233.

What is Jackie Kingma's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

When was this NPI record last updated?

The NPPES record for Jackie Kingma was last updated on October 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.