Kelly Jackson, OTR/L
NPI 1477896876 · Occupational Therapist · Staten Island, NY
Kelly Jackson, OTR/L is a Occupational Therapist provider in Staten Island, NY (NPI 1477896876).
Provider details
- NPI number
- 1477896876
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- License
- 017963 (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
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
- 2013-04-03
- Last updated
- 2013-04-03
Frequently asked questions
- What is Kelly Jackson's NPI number?
- Kelly Jackson's National Provider Identifier (NPI) is 1477896876, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Jackson's specialty?
- Kelly Jackson is listed in the NPPES registry with a primary specialty of Occupational Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Kelly Jackson located?
- Kelly Jackson's practice location on file with NPPES is 178 Manila Ave, Staten Island, NY 10306-5608.
- What is Kelly Jackson's phone number?
- The practice phone number listed in the NPPES registry for Kelly Jackson is (718) 667-4703.
- Is Kelly Jackson's NPI active?
- Yes — Kelly Jackson's NPI (1477896876) is active in the NPPES registry as of the last update on 2013-04-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.