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

Individual provider Orthopedic Physical Therapist · NPI 1912098252

Kristen A Jackson, PT, DPT is a Physical Therapist in Private Practice in Chicago, Illinois. Qualified in 2005, 21 years ago. Practices with Impulse Rehab and Wellness PLLC, a 7-clinician group and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
21
Licensed in
IL, MO
In the registry since
2006
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

6255 S Archer Ave
Chicago, IL 60638-2609
Phone: (773) 284-6735
Fax: (773) 284-6820
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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 070-017006 (IL)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence 220961806 (MO)

Record details

NPI number1912098252
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedSeptember 28, 2006
Last updated in NPPESSeptember 30, 2011

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Impulse Rehab And Wellness Pllc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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