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

Kellie Lyn Jackson, PTA

Individual provider Physical Therapy Assistant · NPI 1174826309

Kellie Lyn Jackson, PTA is a Physical Therapy Assistant in Clearwater, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1980 Sunset Point Rd
Clearwater, FL 33765-1132
Phone: (727) 443-1588
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA23154 (FL)

Record details

NPI number1174826309
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedDecember 9, 2010
Last updated in NPPESDecember 9, 2012
Mailing address1980 Sunset Point Rd, Clearwater, FL 33765-1132

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