Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

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

Individual provider Orthopedic Physical Therapist · NPI 1396718060

Jackie J Kingma, DPT, ATC, PA-C, PT is an Orthopedic Physical Therapist in Bloomington, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
Specialties on file
3
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Practice location Address checks out

1025 E 7th St Hper C202
Bloomington, IN 47405-7109
Phone: (812) 855-1233
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 05009744A (IN)
Athletic Trainer Taxonomy 2255A2300X · Licence 36001566A (IN)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1396718060
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT , ATC , PA-C , PT
Sole proprietorNo
NPI enumeratedFebruary 10, 2006
Last updated in NPPESOctober 15, 2012

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