IndividualActive
Susan Jacksland, OTR
NPI 1790803229 · Specialist · Melbourne, FL
Susan Jacksland, OTR is a Specialist provider in Melbourne, FL (NPI 1790803229).
Provider details
- NPI number
- 1790803229
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- OTR
- Sex
- Female
- Sole proprietor
- Yes
- License
- OT0004353 (FL)
Specialties & taxonomies
Other Service Providers
Other Service Providers
Profile Score
Detailed profile(89/100 index)
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
1990 New Haven Avenue
Suite 105
Melbourne, FL 32904
Phone: (321) 773-1737
Fax: (321) 773-1737
Street-level locationGet directions
Mailing address
3417 Slate Street
West Melbourne, FL 32904-7593
Registry dates
- Enumerated
- 2007-03-26
- Last updated
- 2022-11-10
- Certified
- 2022-11-10
Frequently asked questions
- What is Susan Jacksland's NPI number?
- Susan Jacksland's National Provider Identifier (NPI) is 1790803229, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Susan Jacksland's specialty?
- Susan Jacksland is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Susan Jacksland located?
- Susan Jacksland's practice location on file with NPPES is 1990 New Haven Avenue, Melbourne, FL 32904.
- What is Susan Jacksland's phone number?
- The practice phone number listed in the NPPES registry for Susan Jacksland is (321) 773-1737.
- Is Susan Jacksland's NPI active?
- Yes — Susan Jacksland's NPI (1790803229) is active in the NPPES registry as of the last update on 2022-11-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.