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Jackie J Kingma, DPT, ATC, PA-C, PT

Orthopedic Physical Therapist in Bloomington, IN · enumerated 2006.

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

National Provider Identifier

1396718060

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Registry record

Entity type Individual (Type 1)
Name Jackie J Kingma
Credential DPT, ATC, PA-C, PT
Sex Female
Practice address 1025 E 7th St, Hper C202, Bloomington, IN, 47405
Phone (812) 855-1233
Enumeration date Feb 10, 2006
Last updated in NPPES Oct 15, 2012

Taxonomy & licenses

2251X0800X Orthopedic Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 05009744A (IN) Primary
2255A2300X Athletic Trainer Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 36001566A (IN) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
DPT · Doctor of Physical Therapy: A physical therapist holding the clinical doctorate now standard for the profession. About the DPT credential

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

What is the NPI number for Jackie Kingma?
The National Provider Identifier (NPI) for Jackie Kingma is 1396718060, a Type 1 (individual) record in the CMS NPPES registry.
Where does Jackie Kingma practice?
The practice location on file with NPPES is in Bloomington, IN. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-10-15.