Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Kellie Lyn Jackson, PTA

Physical Therapy Assistant in Clearwater, FL · enumerated 2010.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174826309

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Registry record

Entity type Individual (Type 1)

Name Kellie Lyn Jackson

Credential PTA

Sex Female

Practice address 1980 Sunset Point Rd, Clearwater, FL, 33765

Phone (727) 443-1588

Enumeration date Dec 9, 2010

Last updated in NPPES Dec 9, 2012

Taxonomy & licenses

225200000X Physical Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License PTA23154 (FL) Primary

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.

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Frequently asked questions

Where does Kellie Jackson practice?

The practice location on file with NPPES is in Clearwater, FL. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Kellie Jackson?

The National Provider Identifier (NPI) for Kellie Jackson is 1174826309, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-12-09.