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TARA JACKSON CPO
NPI 1851255764
Prosthetist in Portland, ME

Active since December 15, 2025
1274 CONGRESS ST, PORTLAND, ME 04102(207) 774-1002 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tara Jackson Cpo NPPES

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

TARA JACKSON CPO (NPI 1851255764) is an individual prosthetist provider in Portland, Maine, licensed in Maine (CPO04857) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1851255764
Entity TypeIndividualFemale
Primary Taxonomy224P00000X
Provider Legal NameTARA JACKSONCredential: CPO
Location Address1274 CONGRESS STPortland, ME 04102-2111
Mailing Address1274 Congress StPortland, ME 04102-2111 · (207) 774-1002
Phone(207) 774-1002
Sole ProprietorNo
Enumeration DateDecember 15, 2025
NPPES CertifiedDecember 15, 2025
✔ NPI 1851255764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224P00000X
License✔ Licensed in ME · CPO04857
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
1274 CONGRESS ST, Portland, ME 04102
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JOHN- PAUL DONOVAN CPO
Specialist/Technologist
1274 CONGRESS ST
PORTLAND, ME 04102
Cumberland County (207) 774-1002
ATLANTIC PROSTHETIC AND ORTHOTIC SERVICES
Durable Medical Equipment & Medical Supplies (Customized Equipment)
1274 CONGRESS ST
PORTLAND, ME 04102
Cumberland County (207) 774-1002
LORYSSA C HOWARD M.A., M.S.,CCC-SLP
Speech-Language Pathologist
1274 CONGRESS ST
PORTLAND, ME 04102
Cumberland County (207) 888-0900
DR. JESSICA L. STERLING PT, DPT
Physical Therapist
1274 CONGRESS ST
PORTLAND, ME 04102
Cumberland County (609) 206-3115

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 Tara Jackson's NPI number?

The NPI number for Tara Jackson is 1851255764. It was assigned to this individual provider in the NPPES registry on December 15, 2025.

Where is Tara Jackson located?

Tara Jackson practices at 1274 Congress St, Portland, ME 04102. The listed phone number is (207) 774-1002.

What is Tara Jackson's specialty?

The primary specialty registered for this NPI is Prosthetist with taxonomy code 224P00000X.

When was this NPI record last updated?

The NPPES record for Tara Jackson was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.