Kellene Jackson, COTA
NPI 1770616138 · Occupational Therapy Assistant · Maitland, FL
Kellene Jackson, COTA is a Occupational Therapy Assistant provider in Maitland, FL (NPI 1770616138).
Provider details
- NPI number
- 1770616138
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 9463 (FL)
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
19 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
- 2007-03-14
- Last updated
- 2010-01-10
Frequently asked questions
- What is Kellene Jackson's NPI number?
- Kellene Jackson's National Provider Identifier (NPI) is 1770616138, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kellene Jackson's specialty?
- Kellene Jackson is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Kellene Jackson located?
- Kellene Jackson's practice location on file with NPPES is 1301 W Maitland Blvd, Maitland, FL 32751-4338.
- What is Kellene Jackson's phone number?
- The practice phone number listed in the NPPES registry for Kellene Jackson is (407) 645-0034.
- Is Kellene Jackson's NPI active?
- Yes — Kellene Jackson's NPI (1770616138) is active in the NPPES registry as of the last update on 2010-01-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.