MISS KELLY A JACKSON OTR/L
NPI 1477896876
Occupational Therapist in Staten Island, NY

Active since April 03, 2013
178 MANILA AVE, STATEN ISLAND, NY 10306(718) 667-4703 Get Directions Write a Review

NPPES record last updated: April 3, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Kelly A Jackson Otr/l NPPES

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

MISS KELLY A JACKSON OTR/L (NPI 1477896876) is an individual occupational therapist in Staten Island, New York, licensed in New York (017963) and active in the NPI registry since April 2013.

NPPES Registry Identity

NPI1477896876
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMISS KELLY A JACKSONCredential: OTR/L
Location Address178 MANILA AVEStaten Island, NY 10306-5608
Mailing Address178 Manila AveStaten Island, NY 10306-5608 · (718) 667-4703
Sole ProprietorNo
Enumeration DateApril 3, 2013
NPI 1477896876 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 NY · 017963
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.
178 MANILA AVE, Staten Island, NY 10306

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 1477896876. It was assigned to this individual provider in the NPPES registry on April 3, 2013.

Where is Kelly Jackson located?

Kelly Jackson practices at 178 Manila Ave, Staten Island, NY 10306. The listed phone number is (718) 667-4703.

What is Kelly Jackson's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelly Jackson was last updated on April 3, 2013. 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.