MR. KEITH R JACKSON (OTR/L) – Occupational Therapist, NPI 1003009937

MR. KEITH R JACKSON (OTR/L) is a healthcare provider. based in Fruitland park, Florida. specializing in Occupational Therapist. They hold the professional credentials OTR/L. They hold a License No. OT9471 (FL). The NPI Number for MR. KEITH R JACKSON (OTR/L) is 1003009937

Main info

Male
Name
MR. KEITH R JACKSON (OTR/L)
NPI
1003009937
Phone
Not provided
Address
4024 EAGLE RIDGE RD
Enumeration Date
23 August 2007
Last Update Date
23 August 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for MR. KEITH R JACKSON (OTR/L)

  • 4024 EAGLE RIDGE RD

    FRUITLAND PARK, FL 347315619

    Phone:

    Type: Mailing

  • Leesburg, Lake County, Florida, United States

    SUITE D

    LEESBURG, FL 347485063

    Phone: (352) 787-9300

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34731)

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Reviews

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Frequently asked questions

Where can patients find MR. KEITH R JACKSON (OTR/L)'s NPI?
You can confirm MR. KEITH R JACKSON (OTR/L) with NPI 1003009937; it appears in the national provider directory.
Is MR. KEITH R JACKSON (OTR/L) currently active in the NPI registry?
CMS-published data lists MR. KEITH R JACKSON (OTR/L) as an active registrant.
What does MR. KEITH R JACKSON (OTR/L) treat or focus on?
Patients typically see MR. KEITH R JACKSON (OTR/L) under the specialty Occupational Therapist. Clinical services aligned with this taxonomy classification.
Where does public data place MR. KEITH R JACKSON (OTR/L)?
The snapshot lists Fruitland Park, Florida for MR. KEITH R JACKSON (OTR/L); download NPPES for the complete set.
Is MR. KEITH R JACKSON (OTR/L) a real provider?
This page reflects official NPPES data for NPI 1003009937. Always confirm identity and privileges with the practice and licensing boards.

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