Keenan Jackson, OT
NPI 1073856779 · Occupational Therapist · Albuquerque, NM
Keenan Jackson, OT is a Occupational Therapist provider in Albuquerque, NM (NPI 1073856779).
Provider details
- NPI number
- 1073856779
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OT
- Sex
- Male
- Sole proprietor
- No
- License
- 3031 (NM)
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
13 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
- 2013-04-01
- Last updated
- 2013-04-01
Frequently asked questions
- What is Keenan Jackson's NPI number?
- Keenan Jackson's National Provider Identifier (NPI) is 1073856779, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Keenan Jackson's specialty?
- Keenan Jackson is listed in the NPPES registry with a primary specialty of Occupational Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Keenan Jackson located?
- Keenan Jackson's practice location on file with NPPES is 6301 Forest Hills Dr Ne, Albuquerque, NM 87109-4137.
- What is Keenan Jackson's phone number?
- The practice phone number listed in the NPPES registry for Keenan Jackson is (505) 823-8399.
- Is Keenan Jackson's NPI active?
- Yes — Keenan Jackson's NPI (1073856779) is active in the NPPES registry as of the last update on 2013-04-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.