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

Kathy Jackson, PT

Individual provider Physical Therapist · NPI 1811060379

Kathy Jackson, PT is a Physical Therapist in Private Practice in Live Oak, Florida. Qualified in 1997, 29 years ago. Practices with Acv Community Services LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
29
Licensed in
FL
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

10820 Marvin E Jones Blvd
Live Oak, FL 32060
Phone: (386) 658-5865
Fax: (386) 658-5542
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT17158 (FL)

Record details

NPI number1811060379
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedNovember 15, 2006
Last updated in NPPESJuly 8, 2007
Mailing address373 Ne Gid Jackson Ln, Mayo, FL 32066

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Acv Community Services Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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