MR. KELLY JAMES JACKSON (PT) – Physical Therapist, NPI 1811191166

MR. KELLY JAMES JACKSON (PT) is a healthcare provider. based in Saint george, Utah. specializing in Physical Therapist. They hold the professional credentials PT. They hold a License No. 347889-2401 (UT). The NPI Number for MR. KELLY JAMES JACKSON (PT) is 1811191166

Main info

Male
Sole Proprietor
Name
MR. KELLY JAMES JACKSON (PT)
NPI
1811191166
Phone
(435) 669-5892
Address
1819 S 2780 E
Enumeration Date
12 June 2007
Last Update Date
15 May 2010
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. KELLY JAMES JACKSON (PT)

  • 1819, South 2780 East, Little Valley, St. George, Washington County, Utah, 84790, United States

    SAINT GEORGE, UT 847907166

    Phone: (435) 669-5892

    Fax: (435) 251-2366

    Type: Mailing

  • Intermountain Foremaster Offices, 1424 E., Foremaster Drive, St. George, Washington County, Utah, 84690, United States

    SUITE 130

    SAINT GEORGE, UT 847905832

    Phone: (435) 251-2367

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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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)

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

Insurance plans in this area (ZIP 84790)

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Reviews

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Frequently asked questions

Can I cross-check MR. KELLY JAMES JACKSON (PT) using NPI 1811191166?
NPI 1811191166 belongs to MR. KELLY JAMES JACKSON (PT); compare other details if you need extra assurance.
Would MR. KELLY JAMES JACKSON (PT) appear as active to a payer?
You can treat MR. KELLY JAMES JACKSON (PT) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is MR. KELLY JAMES JACKSON (PT)?
MR. KELLY JAMES JACKSON (PT) is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
Is MR. KELLY JAMES JACKSON (PT) associated with Saint George?
Public fields place MR. KELLY JAMES JACKSON (PT) around Saint George, Utah. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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