Ms. Kathy Jackson, PT
Ms. Kathy Jackson is a Physical Therapist provider (Physical Therapist) practicing in El Dorado, AR, registered in the NPPES registry with NPI 1104088749 since 2008. The credential PT stands for Physical Therapist.
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1104088749 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Ms. Kathy Jackson |
| Credential | PT |
| Sex | Female |
| Practice address | El Dorado, AR, 71730 |
| Phone | 8708814677 |
| Enumeration date | 2008-06-25 |
| Last updated in NPPES | 2008-06-25 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 225100000X | Physical Therapist | Primary | PT278 | AR |
PT — Physical Therapist: A licensed movement specialist treating injury and disability through exercise and rehabilitation. About the PT credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116655721 | Medicaid | AR | — |
Copy-ready billing details
Provider: Kathy Jackson, PT NPI: 1104088749 Taxonomy: 225100000X (Physical Therapist) Address: El Dorado, AR, 71730
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1477679041 | South Arkansas Developmental Center for Children and Families | Organization | Developmentally Disabled Services Day Training Agency | El Dorado, AR |
| 1770600157 | South Arkansas Developmental Center for Children and Families | Organization | Developmentally Disabled Services Day Training Agency | El Dorado, AR |
| 1184820839 | Brandi Connor | Individual | Speech-Language Pathologist | El Dorado, AR |
| 1689870255 | Suzanna Wetherington | Individual | Speech-Language Pathologist | El Dorado, AR |
| 1497951800 | Stephanie Mann | Individual | Occupational Therapist | El Dorado, AR |
| 1275702219 | Kerri Marx | Individual | Speech-Language Pathologist | El Dorado, AR |
| 1548427503 | South Ar Developmental Center for Children and Families | Organization | Developmentally Disabled Services Day Training Agency | El Dorado, AR |
| 1770747776 | Mia Springer | Individual | Pediatric Registered Nurse | El Dorado, AR |
Verify this record
Cross-check NPI 1104088749 against the authoritative CMS record: view Ms. Kathy Jackson on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Is this the official NPI registry?
What specialty is Kathy Jackson?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-06-25.