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

Kathryn Jackson

Individual provider Occupational Therapist · NPI 1659241511

Kathryn Jackson is an Occupational Therapist in Private Practice in Owasso, Oklahoma. Qualified in 2022, 4 years ago. Practices with Bespoke Physical Therapy LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
4
Licensed in
OK
In the registry since
2025
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Practice location Address checks out

10710 N 121st East Ave
Owasso, OK 74055-5219
Phone: (918) 857-5284
Fax: (918) 857-5284
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 5790 (OK)

Record details

NPI number1659241511
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 6, 2025
Last updated in NPPESNovember 6, 2025
Certification dateNovember 6, 2025
Mailing address10710 N 121st East Ave, Owasso, OK 74055-5219

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Bespoke Physical Therapy Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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