Kim Jackson
NPI 1003415464 · Massage Therapist · Glen Cove, NY
Kim Jackson is a Massage Therapist provider in Glen Cove, NY (NPI 1003415464).
Provider details
- NPI number
- 1003415464
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 028858 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-10-18
- Last updated
- 2020-10-18
- Certified
- 2020-10-18
Frequently asked questions
- What is Kim Jackson's NPI number?
- Kim Jackson's National Provider Identifier (NPI) is 1003415464, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kim Jackson's specialty?
- Kim Jackson is listed in the NPPES registry with a primary specialty of Massage Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Kim Jackson located?
- Kim Jackson's practice location on file with NPPES is 29 Glen Cove Ave Ste 212, Glen Cove, NY 11542-2831.
- What is Kim Jackson's phone number?
- The practice phone number listed in the NPPES registry for Kim Jackson is (516) 384-7670.
- Is Kim Jackson's NPI active?
- Yes — Kim Jackson's NPI (1003415464) is active in the NPPES registry as of the last update on 2020-10-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.