KELLI TRACY JACKMAN MPT
NPI 1750698114
Physical Therapist - Pediatrics in San Leandro, CA

Q: What is Kelli Jackman's NPI number?

The NPI number for Kelli Jackman is 1750698114. It was assigned to this individual provider in the NPPES registry on September 8, 2010.

Q: What is Kelli Jackman's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

Q: When was this NPI record last updated?

The NPPES record for Kelli Jackman was last updated on September 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since September 08, 2010

981 DOWLING BLVD, SAN LEANDRO, CA 94577(510) 638-9618 Get Directions Write a Review

NPPES record last updated: September 8, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kelli Tracy Jackman Mpt NPPES

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

KELLI TRACY JACKMAN MPT (NPI 1750698114) is an individual pediatrics provider in San Leandro, California, licensed in California (PT 28294) and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1750698114

Entity TypeIndividualFemale

Primary Taxonomy2251P0200X

Provider Legal NameKELLI TRACY JACKMANCredential: MPT

Location Address981 DOWLING BLVDSan Leandro, CA 94577-2125

Mailing Address981 Dowling BlvdSan Leandro, CA 94577-2125 · (510) 638-9618

Phone(510) 638-9618

Sole ProprietorYes

Enumeration DateSeptember 8, 2010

✔ NPI 1750698114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251P0200X

License✔ Licensed in CA · PT 28294

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.

981 DOWLING BLVD, San Leandro, CA 94577

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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 Kelli Jackman's NPI number?

The NPI number for Kelli Jackman is 1750698114. It was assigned to this individual provider in the NPPES registry on September 8, 2010.

Where is Kelli Jackman located?

Kelli Jackman practices at 981 Dowling Blvd, San Leandro, CA 94577. The listed phone number is (510) 638-9618.

What is Kelli Jackman's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Kelli Jackman was last updated on September 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.